Individual provider Active NPI

Steven Ross, MD

  • Family Medicine Physician
  • Fort Wayne, IN
National Provider Identifier
1982648895
Registry record updated Nov 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01027154A Issued in IN
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

Updated by the provider on Nov 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100054210MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120103000248 IN Practitioner - Family Practice 2668648221 Reassigns benefits to 1 organization

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
QHG of Fort Wayne Company LLCGroup PAC ID 8628988367, 12 clinicians

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 100Reported as apm
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

LicenseStateTypeSpecialty
01027154AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
QHG of Fort Wayne Company LLC CurrentSince Jul 1, 1999 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.