Individual provider Active NPI

Reginald J. Ross, M.D.

  • Internal Medicine Physician
  • Prairieville, LA
National Provider Identifier
1720178569
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
021632 Issued in LA
Practice address
17123 Commerce Centre Dr
Prairieville, LA 70769-3481
Phone
(225) 605-0534
Fax
(877) 269-9924
NPI assigned
Oct 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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 021632 LA Primary

Addresses

Primary practice location

17123 Commerce Centre Dr
Prairieville, LA 70769-3481

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Phone (225) 605-0534

Other practice location 1

501 Lapalco Blvd
Gretna, LA 70056-7336
Phone (504) 393-4376

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address reginald.ross.1@29601.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20050103000709 LA Practitioner - Internal MedicinePractitioner - Emergency Medicine 9032177381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency Medicine
Education
Louisiana State University School of Medicine in Shreveport, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centerwell Senior Primary Care la PCGroup PAC ID 1951712280, 40 clinicians

Practice addresses (Care Compare)

17123 Commerce Centre Dr
Prairieville, LA 70769-3481
Phone (225) 605-0534

Hospital & facility affiliations

  • Baton Rouge General Medical Center Hospital, Baton Rouge, LA, CCN 190065
  • Our Lady of the Lake Regional Medical Center Hospital, Baton Rouge, LA, CCN 190064

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
021632LAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care (la) PC Internal Medicine Current Accepting new patients
Centerwell Senior Primary Care (la) PC Internal Medicine CurrentSince May 6, 2024 Accepting new patients
Centerwell Senior Primary Care (la) PC Internal Medicine Current Accepting new patients
Centerwell Senior Primary Care (la) PC Internal Medicine CurrentSince May 6, 2024 Accepting new patients
Ochsner Pharmacy and Wellness, LLC Past Accepting new patients
River Parishes Physician Practices LLC Internal Medicine Past Accepting new patients
Centerwell Senior Primary Care (la) PC Internal Medicine Past Accepting new patients

Locations

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

2900 E Texas St
Ste 100
Bossier City, LA 71111
Phone (318) 606-6737

5045 Lapalco Blvd
Marrero, LA 70072
Phone (504) 446-2245

17123 Commerce Centre Dr
Prairieville, LA 70769
Phone (225) 442-3156

Interoperability endpoints

  • Direct secure messaging: reginald.ross@centerwell.eclinicaldirectplus.com

Organizations & group practices 7

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 7

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1720178569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168",
            "telephone_number": "225-605-0534",
            "fax_number": "877-269-9924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17123 COMMERCE CENTRE DR",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707693481",
            "telephone_number": "225-605-0534",
            "fax_number": "877-269-9924"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 Lapalco Blvd",
            "address_purpose": "LOCATION",
            "city": "Gretna",
            "state": "LA",
            "postal_code": "700567336",
            "country_code": "US",
            "telephone_number": "504-393-4376",
            "fax_number": "504-930-4307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSS",
        "first_name": "REGINALD",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "021632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "reginald.ross.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "17123 Commerce Centre Dr",
            "city": "Prairieville",
            "state": "LA",
            "country_code": "US",
            "postal_code": "707693481",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Prairieville, LA

Sources for this page

Verify at the official NPI Registry.