Active NPI
Jeremy A. Ross, MD
- Orthopaedic Surgery Physician
- Henrico, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 0101264414
- Practice address
- 11958 W Broad St
Henrico, VA 23233 - Phone
- (804) 360-4669
- Fax
- (804) 364-6521
- NPI assigned
- Jun 8, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 0101264414 | VA | Primary |
Addresses
Primary practice location
11958 W Broad St
Henrico, VA 23233
Mailing address
PO Box 91734
Richmond, VA 23291-1734
Phone (804) 358-6100
Other practice location 1
9000 Stony Point Pkwy
Richmond, VA 23235-1900
Phone (804) 560-8945
Other practice location 2
417 N 11th St
Richmond, VA 23298-5002
Phone (804) 828-7069
Other practice location 3
1300 W Broad St Ste 113
Richmond, VA 23284-9089
Phone (804) 828-7069
Other practice location 4
1250 E Marshall St
Richmond, VA 23298-5051
Phone (804) 360-4669
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110115741A | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- 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
- Orthopedic Surgery
- Education
- University of Virginia School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11958 W Broad St
Henrico, VA 23233-1007
Phone (804) 364-6641
Hospital & facility affiliations
- Vcu Health at Home Health by Bayada
- At Home Care
- Medical College of Virginia Hospitals
- Vcu Health Tappahannock Hospital
- Sheltering Arms Institute
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.95 of 100
- Quality
- 69.91
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 77.42
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 27 |
| Knee replacement | 23 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101264414 | VA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCV Associated Physicians | Orthopaedic Surgery | Current | Accepting new patients |
Locations
9000 Stony Point Pkwy
Richmond, VA 23235
Phone (804) 560-8906
1250 E Marshall St
Richmond, VA 23298
Phone (804) 628-6990
401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409
417 N 11th St
Richmond, VA 23298
Phone (804) 828-0733
1300 W Broad St
Ste 113
Richmond, VA 23284
Phone (804) 828-0822
11958 W Broad St
Richmond, VA 23233
Phone (804) 360-4669
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.
-
dba MCV Physicians
- Anesthesiology Physician
- Richmond, VA
- NPI 1710959457
Orthopaedic Surgery
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AT Home Care, Inc.
- Home Health Agency
- Richmond, VA
- NPI 1376509430
-
dba VCU Health at Home by BAYADA
- Home Health Agency
- Richmond, VA
- NPI 1083387658
-
dba Sheltering Arms Institute
- Rehabilitation Hospital
- Richmond, VA
- NPI 1376106575
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Tappahannock, VA
- NPI 1760580757
-
dba Medical College of Virginia Hospitals
- General Acute Care Hospital
- Richmond, VA
- NPI 1013091727
-
dba VCU Medical Center
- General Acute Care Hospital
- Richmond, VA
- NPI 1437175734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531958400000",
"number": "1801116371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 91734",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232911734",
"telephone_number": "804-358-6100",
"fax_number": "804-342-7619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11958 W BROAD ST",
"city": "HENRICO",
"state": "VA",
"postal_code": "23233",
"telephone_number": "804-360-4669",
"fax_number": "804-364-6521"
}
],
"practiceLocations": [
{
"address_1": "9000 Stony Point Pkwy",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232351900",
"country_code": "US",
"telephone_number": "804-560-8945",
"fax_number": "804-560-7199",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "417 N 11th St",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232985002",
"country_code": "US",
"telephone_number": "804-828-7069",
"fax_number": "804-828-4762",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1300 W Broad St Ste 113",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232849089",
"country_code": "US",
"telephone_number": "804-828-7069",
"fax_number": "804-628-0354",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1250 E Marshall St",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232985051",
"country_code": "US",
"telephone_number": "804-360-4669",
"fax_number": "804-364-6521",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSS",
"first_name": "JEREMY",
"middle_name": "A.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-08",
"last_updated": "2018-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "VA",
"license": "0101264414",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110115741A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Henrico, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.