Individual provider Active NPI

Cynthia Ann Ross, M.D.

  • General Practice Physician
  • Bridgeview, IL
National Provider Identifier
1831389816
Registry record updated Jul 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
036-081639 Issued in IL
Practice address
8755 S Harlem Ave
Bridgeview, IL 60455-1905
Phone
(708) 430-2295
Fax
(708) 430-2372
NPI assigned
Jul 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X 036-081639 IL
General Practice Physician 208D00000X 036-081639 IL Primary

Addresses

Primary practice location

8755 S Harlem Ave
Bridgeview, IL 60455-1905

Mailing address

5080 Spectrum Dr
Ste 1200 W
Addison, TX 75001-4648
Phone (972) 725-5667

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20111020000635 IL Practitioner - Preventive Medicine 7719159573 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Preventive Medicine
Education
University of Michigan Medical School, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Current Care of Illinois PCGroup PAC ID 6002040276, 36 clinicians

Practice addresses (Care Compare)

10137 Grand Ave
Franklin Park, IL 60131-2548
Phone (847) 451-7590

1030 W Chicago Ave
Chicago, IL 60642-5671
Phone (312) 243-1574

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-081639ILMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care of Illinois PC CurrentSince Aug 1, 2013 Accepting new patients

Locations

8755 S Harlem Ave
Bridgeview, IL 60455
Phone (708) 430-2295

7421 Cass Ave
Darien, IL 60561
Phone (630) 286-5300

10137 Grand Ave
Franklin Park, IL 60131
Phone (847) 451-7590

555 Valley View Dr
Moline, IL 61265
Phone (309) 764-9675

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

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.

NPI Registry JSON

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626998400000",
    "number": "1831389816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5080 SPECTRUM DR",
            "address_2": "STE 1200 W",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750014648",
            "telephone_number": "972-725-5667",
            "fax_number": "214-775-4406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8755 S HARLEM AVE",
            "city": "BRIDGEVIEW",
            "state": "IL",
            "postal_code": "604551905",
            "telephone_number": "708-430-2295",
            "fax_number": "708-430-2372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "CYNTHIA",
        "middle_name": "ANN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-26",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "IL",
            "license": "036-081639",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IL",
            "license": "036-081639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeview, IL

Sources for this page

Verify at the official NPI Registry.