Active NPI
Brian Gross, MD
- Critical Care Medicine (Internal Medicine) Physician
- Davenport, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- 33887
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0024253 | Medicaid | IA | |
| 290013650 | Other | IL | RAILROAD MEDICARE |
| 290013404 | Other | IA | RAILROAD MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- University of Missouri, Columbia School of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- Mercyone Genesis Dewitt Medical Center
- Genesis HLTH System Dba Genesis MDL Ctr-Illini
- Mercyone Clinton Medical Center
- Genesis Medical Center, Aledo
Merit-based Incentive Payment System (MIPS)
- Final score
- 34.85 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 33887 | IA | MD | Critical Care Medicine (Internal Medicine) Physician |
| 036104197 | IL | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesis Health System | Pulmonary Disease | Current | Accepting new patients |
| Genesis Health System | Current | 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
- 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.
-
- General Acute Care Hospital
- Silvis, IL
- NPI 1427132604
-
- Sleep Medicine (Psychiatry & Neurology) Physician
- Davenport, IA
- NPI 1245665405
-
- Family Medicine Physician
- Moline, IL
- NPI 1164538435
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- De Witt, IA
- NPI 1649368523
-
- General Acute Care Hospital
- Davenport, IA
- NPI 1972542264
-
- General Acute Care Hospital
- Clinton, IA
- NPI 1427093962
-
- General Acute Care Hospital
- Silvis, IL
- NPI 1427132604
-
- Critical Access Hospital
- Aledo, IL
- NPI 1225380967
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.