Active NPI
Steven Ross, MD
- Family Medicine Physician
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01027154A
- Practice address
- 7333 W Jefferson Blvd
Fort Wayne, IN 46804-6280 - Phone
- (260) 435-7334
- NPI assigned
- Jun 15, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01027154A | IN | Primary |
Addresses
Primary practice location
7333 W Jefferson Blvd
Fort Wayne, IN 46804-6280
Mailing address
7333 W Jefferson Blvd
Fort Wayne, IN 46804-6280
Phone (260) 435-7334
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100054210 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | redimedsouthwest@docutapdirect.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Indiana University School of Medicine, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7333 W Jefferson Blvd
Fort Wayne, IN 46804-6280
Phone (260) 458-3830
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.99 of 100
- Quality
- 77.41
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01027154A | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| QHG of Fort Wayne Company LLC | Current | Accepting new patients | |
| St. Joseph Health System, LLC | Past | Accepting new patients | |
| Redimed Dekalb LLC | Past | Accepting new patients |
Locations
2510 E DuPont Rd
Fort Wayne, IN 46825
Phone (219) 489-6440
800 Broadway
Fort Wayne, IN 46802
Phone (260) 425-3128
12404 Lima Crossing Dr
Ste 200
Fort Wayne, IN 46818
Phone (260) 619-5022
3717 Maplecrest Rd
Fort Wayne, IN 46815
Phone (219) 486-7334
6920 Pointe Inverness Way
Fort Wayne, IN 46804
Phone (260) 436-4060
315 E Cook Rd
Fort Wayne, IN 46825
Phone (219) 789-7334
7333 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 435-7334
1415 Flaxmill Rd
Huntington, IN 46750
Phone (219) 359-1250
Interoperability endpoints
- steven.ross.1@29579.direct.athenahealth.com
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 and National Provider Directory roles.
-
- General Practice Physician
- Fort Wayne, IN
- NPI 1619918026
-
- General Practice Physician
- Auburn, IN
- NPI 1669417457
-
- Medicare Defined Swing Bed Hospital Unit
- Fort Wayne, IN
- NPI 1538812946
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635811200000",
"number": "1982648895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7333 W JEFFERSON BLVD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468046280",
"telephone_number": "260-435-7334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7333 W JEFFERSON BLVD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468046280",
"telephone_number": "260-435-7334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "STEVEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2021-11-02",
"certification_date": "2021-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01027154A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100054210",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "redimedsouthwest@docutapdirect.com",
"affiliation": "N",
"endpointDescription": "DocuTAP direct address",
"address_1": "7333 W Jefferson Blvd",
"city": "Fort Wayne",
"state": "IN",
"country_code": "US",
"postal_code": "468046280",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 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.