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SAMUEL ROSS MD INC
NPI 1366804825
Internal Medicine in Los Angeles, CA

Active since March 24, 2016
6360 WILSHIRE BLVD, #102, LOS ANGELES, CA 90048(323) 413-7677 Get Directions Write a Review

NPPES record last updated: March 24, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Samuel Ross Md Inc NPPES

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

SAMUEL ROSS MD INC (NPI 1366804825) is a healthcare organization registered as an internal medicine in Los Angeles, California and active in the NPI registry since March 2016. The organization lists Samuel Ross, Principal, as its authorized official.

NPPES Registry Identity

NPI1366804825
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSAMUEL ROSS MD INC
Location Address6360 WILSHIRE BLVD, #102Los Angeles, CA 90048-5603
Mailing Address6360 Wilshire Blvd, #102Los Angeles, CA 90048-5603
Phone(323) 413-7677
Organization SubpartNo
Authorized OfficialSamuel RossPrincipal · (323) 413-7677
Enumeration DateMarch 24, 2016
✔ NPI 1366804825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A133185
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
6360 WILSHIRE BLVD, Los Angeles, CA 90048
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samuel Ross Md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Samuel Ross MD Inc, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Carmen Marti, MSN FNP-BC
Nurse Practitioner
NPI 1093150633
8920 WILSHIRE BLVD STE 327
Beverly Hills, CA 90211
(310) 573-8947
✔ PECOS1.1 mi
Samuel Ross, M.D.
Internal Medicine
NPI 1689917486
8920 WILSHIRE BLVD STE 327
Beverly Hills, CA 90211
(310) 573-8947
✔ PECOS✔ Accepts Medicare1.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Samuel Ross MD Inc's NPI number?

The NPI number for Samuel Ross MD Inc is 1366804825. It was assigned to this organization in the NPPES registry on March 24, 2016.

Where is Samuel Ross MD Inc located?

Samuel Ross MD Inc is located at 6360 Wilshire Blvd #102, Los Angeles, CA 90048. The listed phone number is (323) 413-7677.

What is Samuel Ross MD Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Samuel Ross MD Inc enrolled in Medicare?

Yes. Samuel Ross MD Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Samuel Ross MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Samuel Ross MD Inc, in Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Samuel Ross MD Inc was last updated on March 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.