THEODORA SUZANNE ROSS M.D.
NPI 1700959715
Internal Medicine - Hematology & Oncology in Dallas, TX

Q: What is Theodora Ross's NPI number?

The NPI number for Theodora Ross is 1700959715. It was assigned to this individual provider in the NPPES registry on November 16, 2006.

Q: What is Theodora Ross's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Q: When was this NPI record last updated?

The NPPES record for Theodora Ross was last updated on October 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 November 16, 2006PECOS Enrolled

5323 HARRY HINES BLVD., DALLAS, TX 75390(214) 645-4673(214) 645-2610 Get Directions Write a Review

NPPES record last updated: October 15, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Theodora Suzanne Ross M.d. NPPES

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

THEODORA SUZANNE ROSS M.D. (NPI 1700959715) is an individual hematology & oncology provider in Dallas, Texas, licensed in Texas (P2161) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700959715

Entity TypeIndividualFemale

Primary Taxonomy207RH0003X

Provider Legal NameTHEODORA SUZANNE ROSSCredential: M.D.

Location Address5323 HARRY HINES BLVD.Dallas, TX 75390-7208

Mailing AddressP.o. Box 845347Dallas, TX 75284-5347 · (214) 645-4673 · Fax (214) 645-2610

Phone(214) 645-4673

Fax(214) 645-2610

Sole ProprietorNo

Enumeration DateNovember 16, 2006

Last NPPES UpdateOctober 15, 2014

✔ NPI 1700959715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

License✔ Licensed in TX · P2161

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Also ListedInternal MedicineTaxonomy 207R00000X · License 4301075061 (MI), P2161 (TX)

Also ListedInternal Medicine · HematologyTaxonomy 207RH0000X · License 4301075061 (MI)

Also ListedInternal Medicine · Medical OncologyTaxonomy 207RX0202X · License 4301075061 (MI)

5323 HARRY HINES BLVD., Dallas, TX 75390

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Other Identifiers 5

Medicare ID-Type Unspecified0H17613624MI

Medicaid295867001TX

Medicare UPING18921MI

OtherTXB147854TX · Medicare Id/type Unspecified

Medicaid4129067MI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Theodora Suzanne Ross M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 75390 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

$172.86 typical visit price

range $57.18 – $172.86

Typical copayment $43.21 (range $14.29 – $43.21)

Most-billed visit code 99205

Established Patient

$100.80 typical visit price

range $18.48 – $141.20

Typical copayment $25.20 (range $4.62 – $35.30)

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.

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Other Providers at the Same Location NPPES 20

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

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