Individual provider Active NPI

Cheryl Evelyn Ross-Cammock, MD

  • Pediatric Cardiology Physician
  • Palo Alto, CA
National Provider Identifier
1689615015
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
A78872 Issued in CA
Practice address
725 Welch Rd
Palo Alto, CA 94304-1601
Phone
(650) 497-8000
NPI assigned
Jun 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X 2015019915 MO
Pediatric Cardiology Physician 2080P0202X MD2023-1241 NM
Pediatrics Physician 208000000X A78872 CA
Pediatrics Physician 208000000X 2015019915 MO
Pediatric Cardiology Physician 2080P0202X 25MA1013880 NJ
Pediatric Cardiology Physician 2080P0202X MD462099 PA
Hospitalist Physician 208M00000X 25MA1013880 NJ
Pediatric Cardiology Physician 2080P0202X A78872 CA Primary

Addresses

Primary practice location

725 Welch Rd
Palo Alto, CA 94304-1601

Mailing address

725 Welch Rd
Palo Alto, CA 94304-1601
Phone (650) 497-8000

Other practice location 1

700 Mullica Hill Rd
Mullica Hill, NJ 08062-4413
Phone (856) 508-1000

Other practice location 2

1 Childrens Pl
Saint Louis, MO 63110-1002
Phone (314) 454-6095

Other practice location 3

509 N Broad St
Woodbury, NJ 08096-1617
Phone (856) 845-0100

Other practice location 4

2418 E York St
Philadelphia, PA 19125-3006
Phone (267) 908-5535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NC, DE, NM4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20050310000641 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Pediatric Medicine 4981658002 Reassigns benefits to 1 organization
I20090929000710 NC Practitioner - Pediatric Medicine 4981658002
I20200325000680 DE Practitioner - Hospitalist 4981658002 Reassigns benefits to 1 organization
I20231017001600 NM Practitioner - Pediatric Medicine 4981658002 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A78872CAMDPediatric Cardiology Physician
MD2023-1241NMMDPediatric Cardiology Physician
MD462099PAMDPediatric Cardiology Physician
25MA1013880NJMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
LPCH Medical Group Div of Lucile Pediatrics CurrentSince May 9, 2022 Accepting new patients
My Pediaheart Care Partner Inc. Pediatric Cardiology CurrentSince Jun 15, 2021 Accepting new patients
Presbyterian Healthcare Services CurrentSince Jan 1, 2025 Accepting new patients
Unm Medical Group Inc CurrentSince Sep 20, 2023 Accepting new patients
The Nemours Foundation CurrentSince Feb 10, 2020 Accepting new patients
The Nemours Foundation CurrentSince Feb 10, 2020 Accepting new patients
Presbyterian Healthcare Services Pediatrics CurrentSince Jan 1, 2025 Accepting new patients
Unm Medical Group, Inc. CurrentSince Sep 20, 2023 Accepting new patients
Presbyterian Healthcare Services Past Accepting new patients

Locations

725 Welch Rd
Palo Alto, CA 94304
Phone (650) 497-8979

1600 Rockland Rd
Wilmington, DE 19803

4110 Kennedy Blvd
#F
Union City, NJ 07087
Phone (201) 319-9800

4110 Kennedy Blvd
Union City, NJ 07087
Phone (201) 319-9800

509 N Broad St
Woodbury, NJ 08096
Phone (856) 686-5396

201 Cedar St SE
Ste 6670
Albuquerque, NM 87106
Phone (505) 563-6120

201 Cedar St SE
Ste 700
Albuquerque, NM 87106
Phone (505) 563-6120

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111

190 W Germantown Pike
Ste 150
Norristown, PA 19401
Phone (215) 774-1166

2000 Hamilton St
Ste 301
Philadelphia, PA 19130
Phone (215) 422-3130

2418 E York St
Philadelphia, PA 19125
Phone (215) 575-5906

Interoperability endpoints

  • Direct secure messaging: crosscammock621979@hisp.ehr.sutterhealth.org
  • Direct secure messaging: crosscammock263305@direct.phs.org
  • FHIR API: https://api.platform.athenahealth.com/24135/brand/1/csg/1/fhir/r4

Organizations & group practices 9

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1689615015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 WELCH RD",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041601",
            "telephone_number": "650-497-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 WELCH RD",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041601",
            "telephone_number": "650-497-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Mullica Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Mullica Hill",
            "state": "NJ",
            "postal_code": "080624413",
            "country_code": "US",
            "telephone_number": "856-508-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Childrens Pl",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631101002",
            "country_code": "US",
            "telephone_number": "314-454-6095",
            "fax_number": "314-454-2561",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "509 N Broad St",
            "address_purpose": "LOCATION",
            "city": "Woodbury",
            "state": "NJ",
            "postal_code": "080961617",
            "country_code": "US",
            "telephone_number": "856-845-0100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2418 E York St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191253006",
            "country_code": "US",
            "telephone_number": "267-908-5535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSS-CAMMOCK",
        "first_name": "CHERYL",
        "middle_name": "EVELYN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "MO",
            "license": "2015019915",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "NM",
            "license": "MD2023-1241",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A78872",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2015019915",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "NJ",
            "license": "25MA1013880",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "PA",
            "license": "MD462099",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NJ",
            "license": "25MA1013880",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "CA",
            "license": "A78872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

Verify at the official NPI Registry.