Individual provider Active NPI

Holly Elaine Ross, M.D.

  • Family Medicine Physician
  • Ann Arbor, MI
National Provider Identifier
1740276633
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301089469 Issued in MI
Practice address
1915 Pauline Blvd
Ann Arbor, MI 48103-5001
Phone
(734) 926-4900
Fax
(614) 635-1290
NPI assigned
Sep 26, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 0420010866 VT
Family Medicine Physician 207Q00000X 4301089469 MI Primary

Addresses

Primary practice location

1915 Pauline Blvd
Ann Arbor, MI 48103-5001

Mailing address

5200 Venture Dr
Ann Arbor, MI 48108-9561
Phone (734) 971-1073

Other practice location 1

200 Arnet St Ste 150
Ypsilanti, MI 48198-5735
Phone (734) 985-7200

Other practice location 2

2650 Carpenter Rd
Ann Arbor, MI 48108-1108
Phone (734) 971-1073

Other names 1

  • Dr. Holly Elaine Hill Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20110214000889 MI Practitioner - Family Practice 3072579077 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Southwestern Medical School at Dallas, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Packard Health IncGroup PAC ID 6204876113, 20 clinicians

Practice addresses (Care Compare)

1915 Pauline Blvd
Ann Arbor, MI 48103-5001
Phone (734) 926-4900

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Packard Health, Inc. CurrentSince Dec 25, 2010 Accepting new patients
Packard Health, Inc. CurrentSince Dec 25, 2010 Accepting new patients
Packard Health, Inc. Past Accepting new patients
Packard Health, Inc. Past Accepting new patients

Locations

1915 Pauline Blvd
Ann Arbor, MI 48103
Phone (734) 926-4900

5200 Venture Dr
Ann Arbor, MI 48108
Phone (734) 971-1073

2650 Carpenter Rd
Ann Arbor, MI 48108
Phone (734) 926-4921

3174 Packard St
Ann Arbor, MI 48108
Phone (734) 971-1073

200 Arnet St
Ste 150
Ypsilanti, MI 48198
Phone (734) 985-7200

Interoperability endpoints

  • FHIR API: https://arrprd.metrohealth.net/fhir/api/FHIR/R4

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 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": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1740276633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VENTURE DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481089561",
            "telephone_number": "734-971-1073",
            "fax_number": "734-773-1833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 PAULINE BLVD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481035001",
            "telephone_number": "734-926-4900",
            "fax_number": "614-635-1290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Arnet St Ste 150",
            "address_purpose": "LOCATION",
            "city": "Ypsilanti",
            "state": "MI",
            "postal_code": "481985735",
            "country_code": "US",
            "telephone_number": "734-985-7200",
            "fax_number": "614-635-1290",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2650 Carpenter Rd",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481081108",
            "country_code": "US",
            "telephone_number": "734-971-1073",
            "fax_number": "614-635-1290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSS",
        "first_name": "HOLLY",
        "middle_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-26",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VT",
            "license": "0420010866",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301089469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "HILL",
            "middle_name": "ELAINE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.