Individual provider Active NPI

Robert David Ross, MD

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1780671313
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H5959 Issued in TX
Practice address
7355 Barlite Blvd
Ste 301
San Antonio, TX 78224-1342
Phone
(210) 222-0333
Fax
(210) 928-4837
NPI assigned
Sep 29, 2005
Last updated
Sep 26, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X H5959 TX Primary

Addresses

Primary practice location

7355 Barlite Blvd
Ste 301
San Antonio, TX 78224-1342

Mailing address

PO Box 830605
San Antonio, TX 78283-0605
Phone (210) 222-0333

Other identifiers 1

IdentifierTypeStateIssuer
121237502MedicaidTX

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100913000857 TX Practitioner - Family Practice 2163477217 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H5959TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Group, PA Family Medicine Current Accepting new patients
Wellmed Medical Group, P.a. Family Medicine CurrentSince Jul 31, 2020 Accepting new patients
Garza Medical Group @ South Alamo Family Medicine PastSince Nov 30, 2020 Accepting new patients

Locations

4203 E Southcross Blvd
San Antonio, TX 78222

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

7355 Barlite Blvd
Ste 301
San Antonio, TX 78224

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18288/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1780671313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 830605",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782830605",
            "telephone_number": "210-222-0333",
            "fax_number": "210-928-4837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7355 BARLITE BLVD",
            "address_2": "STE 301",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782241342",
            "telephone_number": "210-222-0333",
            "fax_number": "210-928-4837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "ROBERT",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-29",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H5959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121237502",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.