Individual provider Active NPI

Robert Richard Ross, PA-C

  • Medical Physician Assistant
  • Ann Arbor, MI
National Provider Identifier
1811916463
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA2870 Issued in ME
Practice address
2000 Green Rd.
Suite 100
Ann Arbor, MI 48105
Phone
(374) 995-3764
Fax
(208) 475-9028
NPI assigned
Jul 18, 2006
Reactivated
Aug 6, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA2870 ME
Physician Assistant 363A00000X 5601001593 MI
Medical Physician Assistant 363AM0700X PA2870 ME Primary

Addresses

Primary practice location

2000 Green Rd.
Suite 100
Ann Arbor, MI 48105

Mailing address

Northern Light Eastern Maine Medical Center-Emergency C
489 State Street
Bangor, ME 04401
Phone (207) 973-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, ME2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040810000634 MI Practitioner - Physician Assistant 6709856842 Reassigns benefits to 3 organizations
I20250911000374 ME Practitioner - Physician Assistant 6709856842 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aspirus Ironwood Hospital and Clinics IncGroup PAC ID 9032013198, shared by 5 NPIs, 165 clinicians

Practice addresses (Care Compare)

N10561 Grandview LN
Ironwood, MI 49938-9622
Phone (906) 932-2525

N10561 Granview LN
Grand View Hospital
Ironwood, MI 49938-9622
Phone (906) 932-2525

N10565 Grand View Lane
Ironwood, MI 49938-9622

N10565 Grandview Lane
Ironwood, MI 49938-9622

N10565 Grandview LN Aspirus Ironwood
Ironwood, MI 49938-9622
Phone (715) 843-1067

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA2870MEMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Iron River Hospital & Clinics, Inc. CurrentSince Dec 15, 2025 Accepting new patients
Aspirus Iron River Hospital & Clinics, Inc. CurrentSince Dec 15, 2025 Accepting new patients
Eastern Maine Medical Center CurrentSince Aug 8, 2025 Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. CurrentSince Jun 27, 2025 Accepting new patients
Aspirus Iron River Hospital & Clinics, Inc. CurrentSince Dec 15, 2025 Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. CurrentSince Jun 27, 2025 Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

489 State St
Bangor, ME 04401
Phone (207) 973-8837

1400 W Ice Lake Rd
Iron River, MI 49935
Phone (906) 265-6121

N10565 Grandview Ln
Ironwood, MI 49938
Phone (906) 932-1500

Organizations & group practices 8

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 7

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1811916463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NORTHERN LIGHT EASTERN MAINE MEDICAL CENTER-EMERGENCY C",
            "address_2": "489 STATE STREET",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "04401",
            "telephone_number": "207-973-8000",
            "fax_number": "207-273-7985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 GREEN RD.",
            "address_2": "SUITE 100",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48105",
            "telephone_number": "374-995-3764",
            "fax_number": "208-475-9028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "ROBERT",
        "middle_name": "RICHARD",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2025-08-12",
        "certification_date": "2025-06-22",
        "deactivation_date": "2025-06-22",
        "reactivation_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ME",
            "license": "PA2870",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601001593",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "ME",
            "license": "PA2870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.