Individual provider Active NPI

Peter Dross, MD

  • Diagnostic Radiology Physician
  • Orlando, FL
National Provider Identifier
1780643569
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME114100 Issued in FL
Practice address
52 W Underwood St Dept of
Orlando, FL 32806-1110
Phone
(321) 842-8475
Fax
(407) 849-6470
NPI assigned
Mar 21, 2006
Last updated
Mar 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME114100 FL Primary
Diagnostic Radiology Physician 2085R0202X C1-0003428 DE

Addresses

Primary practice location

52 W Underwood St Dept of
Orlando, FL 32806-1110

Mailing address

52 W Underwood St Dept of
Orlando, FL 32806-1110
Phone (321) 842-8475

Other identifiers 6

IdentifierTypeStateIssuer
114116400MedicaidFL
PF113OtherFLMEDICARE PTAN OHRI
Q83RJOtherFLBCBS
PR906OtherFLMEDICARE PTAN OHMG
300027121OtherRAILROAD MEDICARE #
0000107701MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140304001612 PA Practitioner - Diagnostic Radiology 5799770095 Reassigns benefits to 1 organization
I20220615003048 FL Practitioner - Diagnostic Radiology 5799770095 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
West Virginia University School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians
Northside Radiology Associates LLCGroup PAC ID 4486555398, 381 clinicians

Practice addresses (Care Compare)

2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 399-5550

21 Bald Eagle CT
Fernandina Beach, FL 32034-0056
Phone (904) 399-5550

220 Fliva Ave NW
Fort Walton Beach, FL 32548-4257
Phone (404) 662-2438

222 Fliva Ave NW
Fort Walton Beach, FL 32548-4257
Phone (404) 662-2438

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C1-0003428DEMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Radiology Associates LLC Diagnostic Radiology CurrentSince Apr 10, 2025 Accepting new patients
Ohri, LLC CurrentSince May 1, 2022 Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Apr 13, 2024 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Oct 1, 2022 Accepting new patients
Ohi West Medical Group, LLC Diagnostic Radiology CurrentSince Nov 2, 2023 Accepting new patients
Christiana Care Health Services Inc Diagnostic Radiology CurrentSince Jan 6, 2014 Accepting new patients
Ohri, LLC Diagnostic Radiology Current Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince May 15, 2024 Accepting new patients
Ohri, LLC CurrentSince May 1, 2022 Accepting new patients
Christiana Care Health Services Inc Current Accepting new patients
Orlando Health Medical Group Inc CurrentSince Oct 1, 2022 Accepting new patients
Bayfront Health Imaging Center LLC Diagnostic Radiology Past Accepting new patients
Christiana Care Health Initiatives Past Accepting new patients
Christiana Care Health Initiatives Diagnostic Radiology Past Accepting new patients
X-Ray Associates P.a. Past Accepting new patients
X-Ray Associates, LLC Past Accepting new patients

Locations

398 E Altamonte Dr
Altamonte Springs, FL 32701
Phone (407) 331-3955

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

1414 Kuhl Ave
Orlando, FL 32806
Phone (407) 464-9516

20 W Kaley St
Orlando, FL 32806
Phone (407) 423-2581

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

52 Underwood St
Orlando, FL 32806
Phone (321) 841-3581

9400 Turkey Lake Rd
Orlando, FL 32819
Phone (321) 843-5500

9400 Turkey Lake Rd
#P
Orlando, FL 32819
Phone (407) 351-8519

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

2201 Central Ave
#100
St Petersburg, FL 33713
Phone (727) 321-7057

2115 Little Rd
Trinity, FL 34655
Phone 7278418225410

161 Wilmington W Chester Pike
Chadds Ford, PA 19317
Phone (610) 361-1060

161 Wilmington W Chester Pike
#P
Chadds Ford, PA 19317
Phone (610) 361-1042

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 16

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.

View all 16

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": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1780643569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 W UNDERWOOD ST DEPT OF",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061110",
            "telephone_number": "321-842-8475",
            "fax_number": "407-849-6470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 W UNDERWOOD ST DEPT OF",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061110",
            "telephone_number": "321-842-8475",
            "fax_number": "407-849-6470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DROSS",
        "first_name": "PETER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME114100",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "DE",
            "license": "C1-0003428",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114116400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN OHRI",
            "identifier": "PF113",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Q83RJ",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN OHMG",
            "identifier": "PR906",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE #",
            "identifier": "300027121",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000107701",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.