NPIMap

Individual provider Active NPI

Michael David Ross, M.D., PH.D.

  • Nephrology Physician
  • Colorado Springs, CO
National Provider Identifier
1679605265
Registry record updated Feb 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
50817 Issued in CO
Practice address
1914 Lelaray St
Colorado Springs, CO 80909-2800
Phone
(719) 632-7641
Fax
(719) 632-2925
NPI assigned
Mar 10, 2007
Last updated
Feb 11, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 50817 CO Primary
Internal Medicine Physician 207R00000X 50817 CO

Addresses

Primary practice location

1914 Lelaray St
Colorado Springs, CO 80909-2800

Mailing address

1914 Lelaray St
Colorado Springs, CO 80909-2800
Phone (719) 632-7641

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120601000398 CO Practitioner - NephrologyPractitioner - Internal Medicine 3870668189 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Icahn School of Medicine at Mount Sinai, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1400 E Boulder St
Memorial Central Ip Op
Colorado Springs, CO 80909-5533
Phone (719) 632-7641

1910 Lelaray St
Colorado Springs, CO 80909-2800
Phone (719) 632-7641

1914 Lelaray St
Colorado Springs, CO 80909-2800
Phone (719) 632-7641

2180 Hollow Brook Dr
Colorado Springs, CO 80918-1444
Phone (719) 632-7641

2222 N Nevada Ave
Penrose Main Ip Op
Colorado Springs, CO 80907-6819
Phone (719) 632-7641

4050 Briargate Pkwy
Colorado Springs, CO 80920-7815
Phone (719) 632-7641

6071 E Woodmen Rd
Davita North
Colorado Springs, CO 80923-2607
Phone (719) 632-7641

850 Eagleridge Blvd
Pueblo, CO 81008-2148
Phone (719) 632-7641

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50817COMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pikes Peak Nephrology Associates PC Nephrology CurrentSince May 1, 2012 Accepting new patients
Salida Hospital District CurrentSince Aug 1, 2023 Accepting new patients
Pikes Peak Nephrology Associates PC Nephrology CurrentSince May 1, 2012 Accepting new patients
Salida Hospital District CurrentSince Jul 1, 2025 Accepting new patients
Salida Hospital District Internal Medicine CurrentSince Aug 1, 2023 Accepting new patients
Transtreme, LLC Past Accepting new patients

Locations

2115 Stuart Ave
Alamosa, CO 81101
Phone (719) 589-3000

1914 Lelaray St
Colorado Springs, CO 80909
Phone (719) 955-2651

850 Eagleridge Blvd
#100
Pueblo, CO 81008
Phone (866) 493-7217

850 Eagleridge Blvd
Ste 100
Pueblo, CO 81008
Phone (866) 493-7217

1000 Rush Dr
Salida, CO 81201
Phone (719) 530-2265

Interoperability endpoints

  • Direct secure messaging: mross@pikes.curemd.direct-ci.com

Organizations & group practices 6

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

Hospital & facility affiliations 26

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1173484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455148800000",
    "number": "1679605265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1914 LELARAY ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809092800",
            "telephone_number": "719-632-7641",
            "fax_number": "719-632-2925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1914 LELARAY ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809092800",
            "telephone_number": "719-632-7641",
            "fax_number": "719-632-2925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-10",
        "last_updated": "2016-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CO",
            "license": "50817",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "50817",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.