ANDREW EDWARD ROSS – Otolaryngology Physician, NPI 1649833013
Otolaryngology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
428 OTOLARYNGOLOGY in MI
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Provider Addresses for ANDREW EDWARD ROSS
4232, South Detroit Avenue, Madison Court, Tulsa, Tulsa County, Oklahoma, 74105, United States
TULSA, OK 741053818
Phone: (619) 261-4371
Type: Mailing
Children's Hospital of Michigan, 3901, Beaubien Street, Midtown, Detroit, Wayne County, Michigan, 48201, United States
DETROIT, MI 482012119
Phone: (619) 261-4371
Type: Location
3901 Beaubien St
Detroit, MI 482012119
Phone: (619) 261-4371
Type: Location
2342 JOHN R RD APT 105
TROY, MI 480832569
Phone: (619) 261-4371
Type: Mailing
4160 JOHN R ST STE 1007
DETROIT, MI 482012017
Phone: (313) 966-9471
Fax: (313) 966-9471
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $1,144.
Total Amount is formed as General ($1,144) + Research ($0) + Ownership ($0) = $1,144.
Last reported payment date: 2024-10-30 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($292).
Total Amount
$1,144
General + Research + Ownership
Payments
11
Total payment records
General Amount
$1,144
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-30
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2024-07-10
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 |
|---|---|---|---|---|
| I20240710003475 | I | Otolaryngology | MI | 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 74105)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O T O L A R Y N G O L O G Y | MI | |
| - | MI | |
| Nurse Practitioner | MI | |
| Physician Assistant | MI | |
| Clinical Psychologist | MI | |
| Physician Assistant | MI | |
| - | MI | |
| Diagnostic Radiology | MI | |
| Vascular Surgery, General Surgery | MI | |
| Orthopedic Surgery | MI |
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