Active NPI
Alan Joseph Ross, MD
- Internal Medicine Physician
- Troy, MI
National Provider Identifier
1922008945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301036707
- Practice address
- 750 Stephenson Hwy
235 BBC
Troy, MI 48083-1103 - Phone
- (248) 577-3522
- Fax
- (248) 577-3526
- NPI assigned
- Aug 1, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301036707 | MI | Primary |
Addresses
Primary practice location
750 Stephenson Hwy
235 BBC
Troy, MI 48083-1103
Mailing address
29355 Northwestern Hwy
120
Southfield, MI 48034-1053
Phone (248) 577-3522
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 409812010 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301036707 | MI | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263772800000",
"number": "1922008945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29355 NORTHWESTERN HWY",
"address_2": "120",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480341053",
"telephone_number": "248-577-3522",
"fax_number": "248-577-3526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 STEPHENSON HWY",
"address_2": "235 BBC",
"city": "TROY",
"state": "MI",
"postal_code": "480831103",
"telephone_number": "248-577-3522",
"fax_number": "248-577-3526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "ALAN",
"middle_name": "JOSEPH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-01",
"last_updated": "2010-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301036707",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "409812010",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.