Individual provider Active NPI

Sheldon Ross, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Sunrise, FL
National Provider Identifier
1932200326
Registry record updated Jan 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO01131 Issued in FL
Practice address
10109 W Oakland Park Blvd
Sunrise, FL 33351-6917
Phone
(954) 748-9444
Fax
(954) 749-8712
NPI assigned
Sep 26, 2006
Last updated
Jan 24, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO01131 FL Primary

Addresses

Primary practice location

10109 W Oakland Park Blvd
Sunrise, FL 33351-6917

Mailing address

10109 W Oakland Park Blvd
Sunrise, FL 33351-6917
Phone (954) 748-9444

Other identifiers 1

IdentifierTypeStateIssuer
0411612-00MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101203000869 FL Practitioner - Podiatry 3870607658 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO01131FLMDFoot & Ankle Surgery Podiatrist
1131FLMDOrthopedic Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sheldon Ross, D.PM., P.a. Foot & Ankle Surgery CurrentSince Sep 26, 1997 Accepting new patients

Locations

10109 W Oakland Park Blvd
Sunrise, FL 33351
Phone (954) 733-1220

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295827200000",
    "number": "1932200326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10109 W OAKLAND PARK BLVD",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333516917",
            "telephone_number": "954-748-9444",
            "fax_number": "954-749-8712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10109 W OAKLAND PARK BLVD",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333516917",
            "telephone_number": "954-748-9444",
            "fax_number": "954-749-8712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "SHELDON",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2011-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO01131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0411612-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

Verify at the official NPI Registry.