Individual provider Active NPI

Kenneth P Gross, M.D.

  • Anesthesiology Physician
  • Lincoln, NE
National Provider Identifier
1730155938
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
NE20237 Issued in NE
Practice address
2900 S 70TH St Ste 450
Lincoln, NE 68506-3796
Phone
(402) 489-4186
Fax
(402) 489-5279
NPI assigned
Feb 27, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NE20237 NE Primary

Addresses

Primary practice location

2900 S 70TH St Ste 450
Lincoln, NE 68506-3796

Mailing address

2900 S 70TH St Ste 450
Lincoln, NE 68506-3796
Phone (402) 489-4186

Other identifiers 1

IdentifierTypeStateIssuer
470619798MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20081203000271 NE Practitioner - Anesthesiology 4082775531 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Nebraska College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Anesthesiologists, PCGroup PAC ID 4385630391, 101 clinicians

Practice addresses (Care Compare)

1710 S 70TH St
Lincoln Surgical Hospital
Lincoln, NE 68506-1676
Phone (402) 484-9090

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83 of 100Reported as group
Quality
80
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NE20237NEMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Anesthesiologists PC Anesthesiology CurrentSince Sep 2, 2008 Accepting new patients

Locations

1600 S 48th St
Lincoln, NE 68506
Phone (402) 481-9049

1710 S 70th St
Lincoln, NE 68506
Phone (402) 484-9090

2900 S 70th St
Ste 250
Lincoln, NE 68506
Phone (402) 489-4186

2900 S 70th St
Ste 450
Lincoln, NE 68506
Phone (402) 489-4186

6911 Van Dorn St
Ste 2
Lincoln, NE 68506
Phone (402) 403-9430

Ownership & related parties

All facility ownership & control disclosures 3

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

FacilityTypeRoleSince
Bryan Medical CenterLincoln, NE, CCN 28S003 Hospital Corporate Officer
Corporate Director
Jan 1, 2022
Jan 1, 2018
Bryan Medical CenterLincoln, NE, CCN 28T003 Hospital Corporate Officer
Corporate Director
Jan 1, 2022
Jan 1, 2018
Bryan Medical CenterLincoln, NE, CCN 280003 Hospital Corporate Officer
Corporate Director
Jan 1, 2022
Jan 1, 2018

Owned or controlled facilities with NPI records 5

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

Organizations & group practices 1

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 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": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1730155938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 S 70TH ST STE 450",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685063796",
            "telephone_number": "402-489-4186",
            "fax_number": "402-489-5279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 S 70TH ST STE 450",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685063796",
            "telephone_number": "402-489-4186",
            "fax_number": "402-489-5279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "KENNETH",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NE",
            "license": "NE20237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "470619798",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.