Individual provider Active NPI

Anthony Gross, D. O.

  • Sports Medicine (Family Medicine) Physician
  • Tucson, AZ
National Provider Identifier
1942615182
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
8053 Issued in AZ
Practice address
4578 N 1St Ave Ste 100
Tucson, AZ 85718-5748
Phone
(702) 848-2256
NPI assigned
Jun 26, 2014
Last updated
Sep 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 34.012392 OH
Sports Medicine (Psychiatry & Neurology) Physician 2084S0010X 34.012392 OH
Family Medicine Physician 207Q00000X 8053 AZ
Sports Medicine (Psychiatry & Neurology) Physician 2084S0010X 008053 AZ
Sports Medicine (Family Medicine) Physician 207QS0010X 8053 AZ Primary

Addresses

Primary practice location

4578 N 1St Ave Ste 100
Tucson, AZ 85718-5748

Mailing address

4578 N 1St Ave Ste 100
Tucson, AZ 85718-5748
Phone (702) 848-2256

Other identifiers 1

IdentifierTypeStateIssuer
563632MedicaidAZ

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190820002347 AZ Practitioner - Sports MedicinePractitioner - Family PracticePractitioner - Psychiatry 2567726565 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Psychiatry
Education
Touro Un Col of Osteopathic Medicine, Henderson, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Anywhere Clinic LLCGroup PAC ID 4183996317, 32 clinicians
Sparcc Professional CorporationGroup PAC ID 8820515539, 8 clinicians

Practice addresses (Care Compare)

4578 N 1St Ave
Suite 100
Tucson, AZ 85718-5748
Phone (702) 848-2256

5199 E Farness Dr
Suite 101
Tucson, AZ 85712-2262
Phone (520) 222-8076

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
008053AZMDSports Medicine (Psychiatry & Neurology) Physician
34.012392OHMDSports Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sparcc Professional Corporation Sports Medicine CurrentSince Jul 1, 2025 Accepting new patients
Anywhere Clinic LLC CurrentSince Jul 26, 2023 Accepting new patients
Arizona Advanced Surgical Associates LLC PastSince Mar 1, 2021 Accepting new patients

Locations

4343 N Scottsdale Rd
Scottsdale, AZ 85251
Phone (480) 750-9786

5199 E Farness Dr
Ste 101
Tucson, AZ 85712
Phone (520) 222-8076

1640 E River Rd
Ste 215
Tucson, AZ 85718
Phone (520) 220-8076

4578 N 1st Ave
Ste 100
Tucson, AZ 85718
Phone (520) 338-2557

4029 Dean Martin Dr
Las Vegas, NV 89103
Phone (702) 919-1508

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

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": "1403740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1942615182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4578 N 1ST AVE STE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857185748",
            "telephone_number": "702-848-2256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4578 N 1ST AVE STE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857185748",
            "telephone_number": "702-848-2256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D. O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-26",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "OH",
            "license": "34.012392",
            "primary": false
        },
        {
            "code": "2084S0010X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sports Medicine",
            "state": "OH",
            "license": "34.012392",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "8053",
            "primary": false
        },
        {
            "code": "2084S0010X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sports Medicine",
            "state": "AZ",
            "license": "008053",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "AZ",
            "license": "8053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "563632",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.