Active NPI
Mitchell Joshua Ross, M.D.
- Interventional Cardiology Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 32200
- Practice address
- 340 E Palm LN
Suite 175
Phoenix, AZ 85004-4603 - Phone
- (602) 386-1100
- Fax
- (602) 386-1150
- NPI assigned
- Aug 16, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 32200 | AZ | |
| Interventional Cardiology Physician | 207RI0011X | 32200 | AZ | Primary |
Addresses
Primary practice location
340 E Palm LN
Suite 175
Phoenix, AZ 85004-4603
Mailing address
340 E Palm LN
Suite 175
Phoenix, AZ 85004-4603
Phone (602) 386-1100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 864141 | Medicaid | AZ | |
| P00169271 | Other | AZ | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- 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
- Interventional Cardiology
- Education
- Harvard Medical School, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
340 E Palm LN
Suite A175
Phoenix, AZ 85004-4603
Phone (602) 386-1100
Hospital & facility affiliations
- Honor Health John C. Lincoln Medical Center
- Honorhealth Deer Valley Medical Center
- Honorhealth Scottsdale Osborn Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 22 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32200 | AZ | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Honorhealth Ambulatory | Cardiovascular Disease | Current | Accepting new patients |
| Honorhealth Ambulatory | Current | Accepting new patients | |
| Arizona Imaging Specialists, LLC | Current | Accepting new patients | |
| St Josephs Pathology | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients | |
| Honorhealth Ambulatory | Current | Accepting new patients | |
| Grand View Hospital | Cardiovascular Disease | Past | Accepting new patients |
| Pennsylvania Heart and Vascular Group, P.C. | Cardiovascular Disease | Past | Accepting new patients |
| Professional Diagnostix | Cardiovascular Disease | Past | Accepting new patients |
Locations
350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001
340 E Palm Ln
Ste A175
Phoenix, AZ 85004
Phone (602) 386-1100
3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520
9250 W Thomas Rd
Ste 300
Phoenix, AZ 85037
Phone (602) 386-1100
2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462
10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250
10101 N 92nd St
Ste 101
Scottsdale, AZ 85258
Phone (480) 860-1919
1988 E Baseline Rd
Ste 101
Tempe, AZ 85283
Phone (602) 386-1100
Interoperability endpoints
- mitchell.ross.p130@direct.aac.nextgenshare.com
- mross113998@direct.honorhealth.com
Organizations & group practices 10
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.
-
- Hematology & Oncology Physician
- Scottsdale, AZ
- NPI 1407050917
-
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
- NPI 1336472448
-
- Clinic/Center
- Phoenix, AZ
- NPI 1568087187
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1144624339
-
- Cardiovascular Disease Physician
- Scottsdale, AZ
- NPI 1275833915
-
- Emergency Medicine Physician
- Mesa, AZ
- NPI 1891518130
-
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
- NPI 1265407738
-
- Cardiovascular Disease Physician
- Phoenix, AZ
- NPI 1730171612
-
- Cardiovascular Disease Physician
- Sellersville, PA
- NPI 1669802542
-
- Cardiovascular Disease Physician
- Jenkintown, PA
- NPI 1578515748
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1528169125
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1770690695
-
- General Acute Care Hospital
- Scottsdale, AZ
- NPI 1811951429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429660800000",
"number": "1831181809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 E PALM LN",
"address_2": "SUITE 175",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850044603",
"telephone_number": "602-386-1100",
"fax_number": "602-386-1150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 E PALM LN",
"address_2": "SUITE 175",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850044603",
"telephone_number": "602-386-1100",
"fax_number": "602-386-1150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "MITCHELL",
"middle_name": "JOSHUA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-16",
"last_updated": "2015-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "AZ",
"license": "32200",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "AZ",
"license": "32200",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "864141",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00169271",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; 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.