Individual provider Active NPI

Brian Gross, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Davenport, IA
National Provider Identifier
1740255348
Registry record updated Apr 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
33887 Issued in IA
Practice address
1801 E 54TH St
Ste 100
Davenport, IA 52807-7209
Phone
(563) 323-1229
Fax
(563) 323-8240
NPI assigned
Feb 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 036104197 IL
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 33887 IA Primary
Pulmonary Disease Physician 207RP1001X 33887 IA

Addresses

Primary practice location

1801 E 54TH St
Ste 100
Davenport, IA 52807-7209

Mailing address

1801 E 54TH St Ste 100
Davenport, IA 52807-7214
Phone (563) 421-0550

Other identifiers 3

IdentifierTypeStateIssuer
0024253MedicaidIA
290013650OtherILRAILROAD MEDICARE
290013404OtherIARAILROAD MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address brian.gross@direct.genesishealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20070226000798 IA Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 7618949579 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
University of Missouri, Columbia School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Health SystemGroup PAC ID 6103829338, 262 clinicians

Practice addresses (Care Compare)

1801 E 54TH St
100 Mercyone Genesis
Davenport, IA 52807-7214
Phone (563) 421-0550

Hospital & facility affiliations

  • Genesis Medical Center-Davenport Hospital, Davenport, IA, CCN 160033
  • Mercyone Genesis Dewitt Medical Center Hospital, Dewitt, IA, CCN 161313
  • Genesis HLTH System Dba Genesis MDL Ctr-Illini Hospital, Silvis, IL, CCN 140275
  • Mercyone Clinton Medical Center Hospital, Clinton, IA, CCN 160080
  • Genesis Medical Center, Aledo Hospital, Aledo, IL, CCN 141304

Merit-based Incentive Payment System (MIPS)

Final score
34.85 of 100Reported as group
Quality
21.4
Improvement activities
0
Cost
76.92

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33887IAMDCritical Care Medicine (Internal Medicine) Physician
036104197ILMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Health System Pulmonary Disease CurrentSince Oct 1, 2019 Accepting new patients
Genesis Health System CurrentSince Oct 1, 2019 Accepting new patients
Stephen C Rasmus MD PC Past Accepting new patients
Genesis Health System Past Accepting new patients

Locations

865 Lincoln Rd
Ste 100
Bettendorf, IA 52722
Phone (563) 355-1000

1801 E 54th St
Ste 100
Davenport, IA 52807
Phone (563) 323-1229

4700 E 56th St
Ste 100
Davenport, IA 52807
Phone (563) 383-2667

1227 E Rusholme St
Davenport, IA 52803
Phone (563) 324-8160

1351 W Central Park Ave
Ste 340
Davenport, IA 52804
Phone (563) 421-1287

1401 W Central Park Ave
Davenport, IA 52804
Phone (563) 421-1900

801 Illini Dr
Silvis, IL 61282
Phone (309) 281-4000

Interoperability endpoints

  • Direct secure messaging: brian.gross@direct.genesishealth.com

Organizations & group practices 4

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 5

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": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619395200000",
    "number": "1740255348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 E 54TH ST STE 100",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528077214",
            "telephone_number": "563-421-0550",
            "fax_number": "563-421-0559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 E 54TH ST",
            "address_2": "STE 100",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528077209",
            "telephone_number": "563-323-1229",
            "fax_number": "563-323-8240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IL",
            "license": "036104197",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "IA",
            "license": "33887",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IA",
            "license": "33887",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0024253",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "290013650",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "290013404",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brian.gross@direct.genesishealth.com",
            "affiliation": "N",
            "endpointDescription": "Genesis Health System Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1801 E 54th St",
            "address_2": "Ste 100",
            "city": "Davenport",
            "state": "IA",
            "country_code": "US",
            "postal_code": "528077209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

Verify at the official NPI Registry.