Active NPI
Rachel Lauren Ross, DPM
- Podiatrist
- Tyler, TX
National Provider Identifier
1780031906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 2370
- Practice address
- 3401 Omega Dr
Tyler, TX 75701-6653 - Phone
- (254) 541-7196
- NPI assigned
- May 17, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 2370 | TX | Primary |
Addresses
Primary practice location
3401 Omega Dr
Tyler, TX 75701-6653
Mailing address
2946 S University Dr Apt 7209
Davie, FL 33328-1458
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- College of Podiatric Med and Surgery, Des Moines University, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2413 E Loop 820
Fort Worth, TX 76118-6933
Phone (888) 964-6681
4201 Stonegate Blvd
Fort Worth, TX 76109-9503
Phone (888) 964-6681
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 937 |
| Removal or shaving of skin growth | 99 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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 and National Provider Directory roles.
-
- Podiatrist
- Fort Worth, TX
- NPI 1518112499
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565049600000",
"number": "1780031906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2946 S UNIVERSITY DR APT 7209",
"city": "DAVIE",
"state": "FL",
"postal_code": "333281458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 OMEGA DR",
"city": "TYLER",
"state": "TX",
"postal_code": "757016653",
"telephone_number": "254-541-7196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "RACHEL",
"middle_name": "LAUREN",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-17",
"last_updated": "2019-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "TX",
"license": "2370",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; 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.