SAMUEL WARREN ROSS
NPI 1760941868
Pediatrics - Pediatric Cardiology in Garden City, NY

Active since March 18, 2019PECOS EnrolledAccepts Medicare Assignment
1111 FRANKLIN AVE, GARDEN CITY, NY 11530(516) 663-4600(516) 663-3008 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 5, 2025, Mar 18, 2019 (2 updates tracked since 2019).

About Samuel Warren Ross NPPES

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

SAMUEL WARREN ROSS (NPI 1760941868) is an individual pediatric cardiology provider in Garden City, New York, licensed in New York (317200) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS and is a graduate of University Of Miami, Lm Miller School Of Medicine (2019).

NPPES Registry Identity

NPI1760941868
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameSAMUEL WARREN ROSS
Location Address1111 FRANKLIN AVEGarden City, NY 11530-1617
Mailing Address700 Hicksville Rd Ste 205Bethpage, NY 11714-3472
Fax(516) 663-3008
Sole ProprietorNo
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 2019
Enumeration DateMarch 18, 2019
Last NPPES UpdateJune 5, 20252 updates tracked since enumeration
NPPES CertifiedJune 5, 2025
✔ NPI 1760941868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in NY · 317200
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
1111 FRANKLIN AVE, Garden City, NY 11530

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samuel Warren Ross 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 ID547599425
PECOS Enrollment IDI20250701001280
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.

Medicare Billing Reassignment

Medicare enrollment records show Samuel Ross reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cardiovascular Disease
3301 QUANTUM BLVD
Boynton Beach, FL 33426
  • Reassigned Medicare billing, New York enrollment
  • 2,450 clinicians in this Medicare group

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

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.

Internal Medicine (Cardiovascular Disease)
1111 FRANKLIN AVE
GARDEN CITY, NY 11530
Internal Medicine (Pulmonary Disease)
1111 FRANKLIN AVE
GARDEN CITY, NY 11530
Physician Assistant
1111 FRANKLIN AVE
GARDEN CITY, NY 11530
Internal Medicine
1111 FRANKLIN AVE
GARDEN CITY, NY 11530
Nurse Practitioner (Family)
1111 FRANKLIN AVE
GARDEN CITY, NY 11530
Dermatology
1111 FRANKLIN AVE
GARDEN CITY, NY 11530
Surgery (Surgical Critical Care)
1111 FRANKLIN AVE
GARDEN CITY, NY 11530
Dietitian, Registered
1111 FRANKLIN AVE
GARDEN CITY, NY 11530

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's NPI number?

The NPI number for Samuel Ross is 1760941868. It was assigned to this individual provider in the NPPES registry on March 18, 2019.

Where is Samuel Ross located?

Samuel Ross practices at 1111 Franklin Ave, Garden City, NY 11530. The listed phone number is (516) 663-4600.

What is Samuel Ross's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Samuel Ross enrolled in Medicare?

Yes. Samuel Ross 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.

Which organization bills Medicare for Samuel Ross's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Ross reassigns Medicare benefits to New York University (Boynton Beach, FL). The 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 Samuel Ross's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Samuel Ross was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.