HAILEIGH DANIELLE ROSS (DO) – Addiction Medicine (Family Medicine) Physician, NPI 1013362722
Addiction Medicine (Family Medicine) Physician
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Profile Insights
NPPES metrics only — not quality of care.
120 ADDICTION MEDICINE in OH
Provider Addresses for HAILEIGH DANIELLE ROSS (DO)
PO BOX 7527
DUBLIN, OH 430170727
Phone: (614) 566-9108
Fax: (614) 566-8737
Type: Mailing
332 E. State St.
Columbus, OH 43215
Phone: (614) 788-5400
Fax: (614) 788-5500
Type: Location
405 W Grand Ave
Dayton, OH 454057538
Phone: (937) 723-4124
Type: Location
290 E Town St
Columbus, OH 432154602
Phone: (614) 788-5400
Type: Location
Frantz Road, Dublin, Franklin, Ohio, 43017, United States
DUBLIN, OH 430164141
Phone:
Type: Mailing
393 E TOWN ST STE 116
COLUMBUS, OH 432154799
Phone: (614) 566-9108
Fax: (614) 566-8737
Type: Location
290, East Town Street, Discovery District, Columbus, Franklin, Ohio, 43215, United States
COLUMBUS, OH 432154602
Phone: (614) 788-5400
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-09-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200924002858 | I | Addiction Medicine | OH | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 43017)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Internal Medicine, Family Practice, Urology | OH | |
| Physician Assistant | OH | |
| - | OH | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MN | |
| General Practice | OH | |
| - | OH | |
| Nurse Practitioner | OH | |
| Physician Assistant | OH |
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