DR. ROSS MICHAEL CANUP M.D.
NPI 1013367333
Family Medicine in Maxwell Afb, AL

Q: What is Ross Canup's NPI number?

The NPI number for Ross Canup is 1013367333. It was assigned to this individual provider in the NPPES registry on June 17, 2016.

Q: What is Ross Canup's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Ross Canup was last updated on April 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 17, 2016PECOS EnrolledAccepts Medicare Assignment

42D MEDICAL GROUP, 300 S. TWINING ST. BLDG 760, MAXWELL AFB, AL 36112(334) 953-5200(334) 953-8607 Get Directions Write a Review

NPPES record last updated: April 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 6, 2019, Jun 17, 2016 (2 updates tracked since 2016).

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About Dr. Ross Michael Canup M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ROSS MICHAEL CANUP M.D. (NPI 1013367333) is an individual family medicine provider in Maxwell Afb, Alabama, licensed in Virginia (0101263009) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS and is a graduate of Uniformed Services Uhs Fe Hebert School Of Med (2016).

NPPES Registry Identity

NPI1013367333

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. ROSS MICHAEL CANUPCredential: M.D.

Location Address42D MEDICAL GROUP, 300 S. TWINING ST. BLDG 760Maxwell Afb, AL 36112-6027

Mailing Address42d Medical Group, 300 S. Twining St. Bldg 760Maxwell Afb, AL 36112-6027 · (334) 953-5200

Phone(334) 953-5200

Fax(334) 953-8607

Sole ProprietorNo

Medical School CMSUniformed Services Uhs Fe Hebert School Of MedGraduated 2016

Enumeration DateJune 17, 2016

Last NPPES UpdateApril 27, 20232 updates tracked since enumeration

NPPES CertifiedApril 19, 2023

✔ NPI 1013367333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in VA · 0101263009

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

42D MEDICAL GROUP, Maxwell Afb, AL 36112

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Other Identifiers 1

Other0101263009Virginia Medical License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ross Michael Canup M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315489168

PECOS Enrollment IDI20250314003325

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36112 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.90 typical visit price

range $52.65 – $161.63

Typical copayment $20.47 (range $13.16 – $40.40)

Most-billed visit code 99203

Established Patient

$93.72 typical visit price

range $16.56 – $131.65

Typical copayment $23.43 (range $4.14 – $32.91)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JUSTIN E SANDHOLM O.D.

Optometrist

42D MEDICAL GROUP, 300 SOUTH TWINING STREET, BLDG 760
MONTGOMERY, AL 36112

Montgomery County (334) 953-5200

KATLYN GORGUS

Military Health Care Provider (Independent Duty Medical Technicians)

42D MEDICAL GROUP, 300 S. TWINING ST., BLDG 760
MAXWELL AFB, AL 36112

Montgomery County (580) 481-7082

DR. JOLYN INEZ TATUM PHD

Psychologist (Health)

42D MEDICAL GROUP, 300 S. TWINING ST., BLDG 760
MAXWELL AFB, AL 36112

Montgomery County (334) 953-5200

MR. CHRISTOPHER W. KELLY FNP-C APRN, MSN, MSM

Nurse Practitioner (Family)

42D MEDICAL GROUP, 300 S. TWINING ST BLDG 760
MAXWELL AFB, AL 36112

Montgomery County (334) 953-5200

RANDI HUGHEY LICSW

Social Worker (Clinical)

42D MEDICAL GROUP, 300 S TWINING ST BLDG 760
MAXWELL AFB, AL 36112

Montgomery County (334) 953-3368

MRS. SARAH MILLER LICSW

Social Worker (Clinical)

42D MEDICAL GROUP, 300 S. TWINNING ST. BLDG 760
MAXWELL AFB, AL 36112

Montgomery County (334) 953-5200

JOHN CAMPBELL JR.

Psychologist

42D MEDICAL GROUP, 300 TWINING STREET
MAXWELL AFB, AL 36112

Montgomery County (334) 953-5143

DR. NIKKI LOUISE MOCHKO D.D.S.

Dentist

42D MEDICAL GROUP, 300 S TWINING ST BLDG 760
MAXWELL AFB, AL 36112

Montgomery County (334) 953-5200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ross Canup's NPI number?

The NPI number for Ross Canup is 1013367333. It was assigned to this individual provider in the NPPES registry on June 17, 2016.

Where is Ross Canup located?

Ross Canup practices at 42D Medical Group 300 S. Twining St. Bldg 760, Maxwell Afb, AL 36112. The listed phone number is (334) 953-5200.

What is Ross Canup's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ross Canup enrolled in Medicare?

Yes. Ross Canup is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Ross Canup was last updated on April 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.