David Byasa Ross, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

29500 Issued in OK

Practice address

4444 E 41St St Ste 2B
Tulsa, OK 74135-2527

Phone

(918) 619-4400

Fax

(918) 660-3517

NPI assigned

Mar 31, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK, TX2 enrollments

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 2

Specialty

Psychiatry

Education

University of Oklahoma College of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family and Children'S Services, IncGroup PAC ID 9830170687, 63 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Family & Children'S Services, Inc

  • Community/Behavioral Health Agency
  • Tulsa, OK
  • NPI 1023122439
  Medicare reassignment Care Compare group NPD
• Board of Regents of the University of Oklahoma Ou Physicians Tulsa

  • Multi-Specialty Clinic/Center
  • Tulsa, OK
  • NPI 1154385730
  Medicare reassignment NPD

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

{
    "created_epoch": "1301529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1952690893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 268838",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731268838",
            "telephone_number": "918-619-4400",
            "fax_number": "918-660-3517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 E 41ST ST STE 2B",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352527",
            "telephone_number": "918-619-4400",
            "fax_number": "918-660-3517"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2448 E 81st St Ste 2000",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741374271",
            "country_code": "US",
            "telephone_number": "918-236-4000",
            "fax_number": "918-236-4001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSS",
        "first_name": "DAVID",
        "middle_name": "BYASA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-31",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OK",
            "license": "29500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200472010A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Michelle Rosenthal, LCSW
• Michael Lloyd Rosenthaler
• Christof Nicholas Rosler
• Tylisha Ross-Oliver
• Carmen Ross, MSW
• Donna Annette Ross
• Gavin Robert Ross
• James M Ross, MD
• Jayna Ross
• Jonathan Ross

• Psychiatry Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Psychiatry Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.