Individual provider Active NPI

Philip Ross, D.O.

  • Neurology Physician
  • Madison Heights, MI
National Provider Identifier
1689086373
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
5101021038 Issued in MI
Practice address
27351 Dequindre Rd
Madison Heights, MI 48071-3487
Phone
(248) 967-7795
Fax
(248) 967-7794
NPI assigned
May 29, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 5101021038 MI Primary

Addresses

Primary practice location

27351 Dequindre Rd
Madison Heights, MI 48071-3487

Mailing address

400 Mack Avenue
Suite 2 West - Credentialing Dept
Detroit, MI 48201-2153
Phone (313) 448-9006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20210205002035 MI Practitioner - Neurology 8123326147 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Physician GroupGroup PAC ID 8628087681, 399 clinicians

Practice addresses (Care Compare)

11800 E 12 Mile Rd
Ascension Macomb Oakland Hospital
Warren, MI 48093-3472
Phone (586) 573-5000

4201 Saint Antoine St
Detroit, MI 48201-2153
Phone (313) 745-4275

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101021038MIMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Semi Medical Group CurrentSince May 30, 2024 Accepting new patients
Henry Ford Health Macomb-Oakland Hospital CurrentSince May 30, 2024 Accepting new patients
Henry Ford Semi Medical Group CurrentSince May 30, 2024 Accepting new patients
Henry Ford Semi Medical Group Neurology Current Accepting new patients
University Physician Group CurrentSince Dec 8, 2020 Accepting new patients
Henry Ford Health Macomb-Oakland Hospital CurrentSince May 30, 2024 Accepting new patients
University Physician Group Past Accepting new patients
University Physician Group PastSince Dec 8, 2020 Accepting new patients

Locations

36750 26 Mile Rd
Ste 230
Chesterfield, MI 48047
Phone (586) 738-9440

4201 Saint Antoine St
Ste 8B
Detroit, MI 48201

400 Mack Ave
#2W
Detroit, MI 48201

4201 Saint Antoine St
Ste 8A
Detroit, MI 48201
Phone (313) 577-8114

4100 John R St
Detroit, MI 48201
Phone (313) 576-8530

27483 Dequindre Rd
Ste 204
Madison Hts, MI 48071
Phone (248) 967-7326

27351 Dequindre Rd
Madison Hts, MI 48071
Phone (248) 967-7000

37771 Schoenherr Rd
Ste 104
Sterling Hts, MI 48312
Phone (810) 286-0050

1560 E Maple Rd
Ste 200
Troy, MI 48083
Phone (248) 581-5200

11800 E 12 Mile Rd
Warren, MI 48093
Phone (586) 573-5000

11900 E 12 Mile Rd
Ste 205
Warren, MI 48093
Phone (586) 576-4907

Interoperability endpoints

  • Direct secure messaging: pross359905@direct.hfhs.org

Organizations & group practices 8

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1689086373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 MACK AVENUE",
            "address_2": "SUITE 2 WEST - CREDENTIALING DEPT",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012153",
            "telephone_number": "313-448-9006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27351 DEQUINDRE RD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480713487",
            "telephone_number": "248-967-7795",
            "fax_number": "248-967-7794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "PHILIP",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-29",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "5101021038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison Heights, MI

Sources for this page

Verify at the official NPI Registry.