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MARY ELIZABETH ROSS MD, PHD
NPI 1841287588
Pediatrics - Pediatric Hematology-Oncology in Peoria, IL

Active since September 27, 2005PECOS Enrolled
530 NE GLEN OAK AVE, PEORIA, IL 61637(309) 624-4945(309) 624-9848 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Jun 26, 2018 (2 updates tracked since 2018).

About Mary Elizabeth Ross Md, Phd NPPES

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

MARY ELIZABETH ROSS MD, PHD (NPI 1841287588) is an individual pediatric hematology-oncology provider in Peoria, Illinois, licensed in Illinois (036.122072) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841287588
Entity TypeIndividualFemale
Primary Taxonomy2080P0207X
Provider Legal NameMARY ELIZABETH ROSSCredential: MD, PHD
Location Address530 NE GLEN OAK AVEPeoria, IL 61637
Mailing Address530 Ne Glen Oak AvePeoria, IL 61637-0001 · (309) 624-4945 · Fax (309) 624-9848
Phone(309) 624-4945
Fax(309) 624-9848
Sole ProprietorNo
Enumeration DateSeptember 27, 2005
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1841287588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
License✔ Licensed in IL · 036.122072
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
530 NE GLEN OAK AVE, Peoria, IL 61637
Open in Google Maps ↗

Other Identifiers 2

Medicaid2534850OH
Medicaid036122072IL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Elizabeth Ross Md, Phd 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.

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.

DR. DEEPAK S NAIR M.D.
Psychiatry & Neurology (Neurology)
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2000
DR. HAMID MAHMOOD ZIA M.D
Pathology (Anatomic Pathology & Clinical Pathology)
530 NE GLEN OAK AVE, CENTRAL ILLINOIS PATHOLOGY SC
PEORIA, IL 61637
Peoria County (309) 624-9011
THOMAS JAMES MCMORROW MD
Pediatrics
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2553
ERIC TYLER AMPARAN MD
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2274
ALEXANDRA ROPER MD
Surgery
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2000
JAPMEHR KAUR SANDHU M.B.B.S.
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 624-9351
THOMAS BLACKWELL JR. MD
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2000
LUKE KLOFT
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2109

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 Mary Ross's NPI number?

The NPI number for Mary Ross is 1841287588. It was assigned to this individual provider in the NPPES registry on September 27, 2005.

Where is Mary Ross located?

Mary Ross practices at 530 NE Glen Oak Ave, Peoria, IL 61637. The listed phone number is (309) 624-4945.

What is Mary Ross's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Is Mary Ross enrolled in Medicare?

Yes. Mary Ross is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Ross was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.