NPIMap

Individual provider Active NPI

Phillip A Ross, M.D.

  • Family Medicine Physician
  • Madison, IN
National Provider Identifier
1922039551
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01039654 Issued in IN
Practice address
630 Broadway St # 2
Madison, IN 47250-3310
Phone
(812) 801-0995
Fax
(812) 801-8621
NPI assigned
Jul 5, 2006
Last updated
Oct 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01039654 IN Primary
General Practice Physician 208D00000X 01039654 IN

Addresses

Primary practice location

630 Broadway St # 2
Madison, IN 47250-3310

Mailing address

PO Box 776351
Chicago, IL 60677-6351
Phone (502) 588-9490

Other identifiers 2

IdentifierTypeStateIssuer
100103060AMedicaidIN
64873219MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100922000819 IN Practitioner - General Practice 3173649555 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
University of Kentucky College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Associates IncGroup PAC ID 7012811284, 1,368 clinicians

Practice addresses (Care Compare)

630 N Broadway St
Level 2
Madison, IN 47250-7328
Phone (812) 801-0995

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
63.09 of 100Reported as group
Quality
45.91
Improvement activities
40
Cost
76.14

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions11
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01039654INMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Indiana, Auditor of State CurrentSince Jul 1, 2014 Accepting new patients
Community Medical Associates, Inc. Family Medicine CurrentSince Jan 1, 2025 Accepting new patients
Tristate Pathology and Forensic Services LLC Current Accepting new patients
State of Indiana, Auditor of State CurrentSince Jul 1, 2014 Accepting new patients
State of Indiana, Auditor of State Current Accepting new patients
Community Medical Associates, Inc. CurrentSince Jan 1, 2025 Accepting new patients
Major Hospital Past Accepting new patients
Community Medical Associates, Inc. Past Accepting new patients

Locations

2051 Clevidence Blvd
Clarksville, IN 47129
Phone (812) 280-6650

3400 Lincoln Ave
Evansville, IN 47714
Phone (812) 469-6800

1098 S State Road 25
Logansport, IN 46947
Phone (574) 722-4141

1373 E State Road 62
#6F
Madison, IN 47250
Phone (502) 629-7181

1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196

445 Clifty Dr
Madison, IN 47250
Phone (812) 273-5372

630 Broadway St
#2
Madison, IN 47250
Phone (812) 801-0995

711 Green Rd
Madison, IN 47250
Phone (812) 265-2611

Interoperability endpoints

  • Direct secure messaging: pross311457@direct.nortonhealthcare.org

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1922039551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351",
            "telephone_number": "502-588-9490",
            "fax_number": "502-272-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 BROADWAY ST # 2",
            "city": "MADISON",
            "state": "IN",
            "postal_code": "472503310",
            "telephone_number": "812-801-0995",
            "fax_number": "812-801-8621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "PHILLIP",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01039654",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IN",
            "license": "01039654",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100103060A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64873219",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, IN

Sources for this page

Verify at the official NPI Registry.