NPIMap

Individual provider Active NPI

Samuel Ross, M.D.

  • Internal Medicine Physician
  • Beverly Hills, CA
National Provider Identifier
1689917486
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A133185 Issued in CA
Practice address
8920 Wilshire Blvd Ste 327
Beverly Hills, CA 90211-2003
Phone
(310) 573-8947
Fax
(310) 573-8950
NPI assigned
Mar 29, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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 A133185 CA Primary

Addresses

Primary practice location

8920 Wilshire Blvd Ste 327
Beverly Hills, CA 90211-2003

Mailing address

11301 Wilshire Blvd
Building 218, Room 217
Los Angeles, CA 90073-1003
Phone (310) 268-3034

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20141217002153 CA Practitioner - Internal Medicine 4284957507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Temple University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8920 Wilshire Blvd
Suite 327
Beverly Hills, CA 90211-2003
Phone (310) 573-8947

Hospital & facility affiliations

  • Epic Homecare Inc Home health agency, Los Angeles, CA, CCN 058049
  • Best Solution Home Health Care Home health agency, Tarzana, CA, CCN 757491
  • Dynamic Home Care Home health agency, Sherman Oaks, CA, CCN 557280
  • Dynamic Hospice and Palliative Care Hospice, Sherman Oaks, CA, CCN A01754
  • Dynamic Hospice and Palliative Care Hospice, Thousand Oaks, CA, CCN B31566
  • Care Pacific Hospice Inc Hospice, Los Angeles, CA, CCN B51572
  • Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions13
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A133185CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Care Pacific Hospice, Inc. Current Accepting new patients
Samuel Ross MD Inc Internal Medicine CurrentSince Mar 15, 2016 Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients

Locations

8920 Wilshire Blvd
Ste 327
Beverly Hills, CA 90211
Phone (310) 573-8947

6360 Wilshire Blvd
Ste 102
Los Angeles, CA 90048
Phone (323) 413-7677

6360 Wilshire Blvd
#102
Los Angeles, CA 90048
Phone (323) 413-7677

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: sross185698@direct.cshs.org

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Care Pacific Hospice, IncLos Angeles, CA, CCN B51572 Hospice Contracted Managing Employee (50%)
Corporate Officer (50%)		 Apr 1, 2025
Apr 1, 2025
Dynamic Hospice and Palliative CareThousand Oaks, CA, CCN B31566 Hospice Contracted Managing Employee (100%) Aug 25, 2025

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

Hospital & facility affiliations 8

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": "1364515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1689917486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11301 WILSHIRE BLVD",
            "address_2": "BUILDING 218, ROOM 217",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900731003",
            "telephone_number": "310-268-3034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8920 WILSHIRE BLVD STE 327",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112003",
            "telephone_number": "310-573-8947",
            "fax_number": "310-573-8950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "SAMUEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-29",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A133185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.