Individual provider Active NPI

Peter A. Ross, M.D.

  • Diagnostic Radiology Physician
  • New York, NY
National Provider Identifier
1649506015
Registry record updated Oct 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
144136-1 Issued in NY
Practice address
500 E 77TH St
New York, NY 10162-0025
Phone
(212) 650-9772
Fax
(212) 650-9772
NPI assigned
Oct 20, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 144136-1 NY Primary

Addresses

Primary practice location

500 E 77TH St
New York, NY 10162-0025

Mailing address

500 E 77TH St
New York, NY 10162-0025
Phone (212) 650-9772

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250203001942 FL Practitioner - Diagnostic Radiology 1557890746 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diagnostic Centers of America, LLPGroup PAC ID 0547174120, 108 clinicians

Practice addresses (Care Compare)

1425 Gateway Blvd
Suite 100
Boynton Beach, FL 33426-8313
Phone (561) 496-6935

15340 S Jog Rd
Suite 160
Delray Beach, FL 33446-2170
Phone (561) 496-6935

1572 Palm Beach Lakes Blvd
Suite 2
West Palm Beach, FL 33401-2338
Phone (561) 496-6935

23071 State Rd
Suite 7
Boca Raton, FL 33428-5433
Phone (561) 496-6935

2565 S State Rd
Suite 7
Wellington, FL 33414-9368
Phone (561) 496-6935

2863 S State Rd
7 Suite 400
Wellington, FL 33414-9435
Phone (561) 496-6935

6080 Boynton Beach Blvd
Suite 140
Boynton Beach, FL 33437-3586
Phone (561) 496-6935

8142 Glades Rd
Boca Raton, FL 33434-4064
Phone (561) 496-6935

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
144136-1NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Dec 29, 2024 Accepting new patients
Diagnostic Centers of America LLP Diagnostic Radiology CurrentSince Mar 17, 2025 Accepting new patients
Diagnostic Centers of America LLP Diagnostic Radiology CurrentSince Mar 17, 2025 Accepting new patients
Diagnostic Centers of America LLP Diagnostic Radiology Past Accepting new patients
Boca Radiology Group PA Diagnostic Radiology Past Accepting new patients

Locations

800 Meadows Rd
Boca Raton, FL 33486
Phone (561) 395-7100

6080 Boynton Beach Blvd
Ste 140
Boynton Beach, FL 33437
Phone (561) 736-3227

2820 NE 214th St
Miami, FL 33180
Phone (786) 691-4151

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

2115 Little Rd
Trinity, FL 34655
Phone 7278418225410

Networks

  • Freedom Health HMO Network

Organizations & group practices 5

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": "1255996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255996800000",
    "number": "1649506015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E 77TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101620025",
            "telephone_number": "212-650-9772",
            "fax_number": "212-650-9772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E 77TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101620025",
            "telephone_number": "212-650-9772",
            "fax_number": "212-650-9772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "PETER",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-20",
        "last_updated": "2009-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "144136-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.