Individual provider Active NPI

Gregory Wayne Ross, M.D.

  • Internal Medicine Physician
  • Baltimore, MD
National Provider Identifier
1669516118
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0034677 Issued in MD
Practice address
222 N Charles St Ste 101B
Baltimore, MD 21201-4032
Phone
(410) 685-8665
Fax
(410) 685-0272
NPI assigned
Feb 17, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0034677 MD Primary

Addresses

Primary practice location

222 N Charles St Ste 101B
Baltimore, MD 21201-4032

Mailing address

15 Charles PLZ Ste 101B
Baltimore, MD 21201-3935
Phone (410) 685-8665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201103000012 MD Practitioner - Internal Medicine 0749690717 Reassigns benefits to 1 organization
Practice locations: Baltimore, MD
I20210510000859 DC Practitioner - Internal Medicine 0749690717

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of North Carolina at Chapel Hill School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Outreach Recovery II, LLCGroup PAC ID 5294166302, 11 clinicians

Practice addresses (Care Compare)

14205 Park Ctr Drive 201 and
Suite 2
Laurel, MD 20707
Phone (410) 800-4466

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0034677MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients
Carlos J Page MD PA Internal Medicine PastSince Dec 27, 2020 Accepting new patients

Organizations & group practices 3

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": "1171670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1669516118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CHARLES PLZ STE 101B",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212013935",
            "telephone_number": "410-685-8665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 N CHARLES ST STE 101B",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212014032",
            "telephone_number": "410-685-8665",
            "fax_number": "410-685-0272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "GREGORY",
        "middle_name": "WAYNE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-17",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0034677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.