Individual provider Active NPI

William Gross, D.P.M.

  • Podiatrist
  • St Petersburg, FL
National Provider Identifier
1609896737
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO-0002411 Issued in FL
Practice address
6499 38TH Ave N
Suite C-2
St Petersburg, FL 33710-1656
Phone
(727) 345-0607
Fax
(727) 345-4309
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO-0002411 FL Primary

Addresses

Primary practice location

6499 38TH Ave N
Suite C-2
St Petersburg, FL 33710-1656

Mailing address

6499 38TH Ave N Ste C2
St Petersburg, FL 33710-1650
Phone (727) 345-0607

Other identifiers 4

IdentifierTypeStateIssuer
340593100MedicaidFL
1588757520OtherFLTYPE 2 NPI
P00349330OtherFLRAILROAD MEDICARE
65346OtherFLBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060925000202 FL Practitioner - Podiatry 8123023249 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6499 38TH Ave N
Suite C2
St Petersburg, FL 33710-1650
Phone (727) 345-0607

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue11
Removal of nail tissue2183
Removal or shaving of skin growth1164

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO-0002411FLMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
William Gross, DPM, PA Podiatrist CurrentSince Jul 27, 2006 Accepting new patients

Locations

255 59th St N
St Petersburg, FL 33710
Phone (727) 302-3752

6450 38th Ave N
Ste 310
St Petersburg, FL 33710
Phone (727) 333-5420

6499 38th Ave N
Ste C2
St Petersburg, FL 33710
Phone (727) 345-0607

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1609896737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6499 38TH AVE N STE C2",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337101650",
            "telephone_number": "727-345-0607",
            "fax_number": "727-345-4309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6499 38TH AVE N",
            "address_2": "SUITE C-2",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337101656",
            "telephone_number": "727-345-0607",
            "fax_number": "727-345-4309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "WILLIAM",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO-0002411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340593100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 2 NPI",
            "identifier": "1588757520",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00349330",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "65346",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.