RICHARD JOHN CROSS MD
NPI 1972771061
Internal Medicine - Nephrology in Saint Clair Shores, MI
About Richard John Cross Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RICHARD JOHN CROSS MD (NPI 1972771061) is an individual nephrology provider in Saint Clair Shores, Michigan, licensed in Michigan (4301086082) and active in the NPI registry since February 2008. He is enrolled in Medicare PECOS, is affiliated with Henry Ford Macomb Hospital, and is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
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
Richard John Cross Md 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.
Medicare Billing Reassignments
3Medicare enrollment records show Richard Cross reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Saint Clair Shores, MI 48081
- Reassigned Medicare billing, Michigan enrollment
- 8 clinicians in this Medicare group
Utica, MI 48317
- Reassigned Medicare billing, Michigan enrollment
- 2 clinicians in this Medicare group
Detroit, MI 48214
- Reassigned Medicare billing, Michigan enrollment
- 9 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.
Areas of Expertise CMS Part B claims 17
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Henry Ford Macomb Hospital
Acute Care Hospitals · Clinton Township, MIBeaumont Hospital - Grosse Pointe
Acute Care Hospitals · Grosse Pointe, MIBeaumont Hospital Royal Oak
Acute Care Hospitals · Royal Oak, MIBeaumont Hospital - Farmington Hills
Acute Care Hospitals · Farmington Hills, MIBeaumont Hospital, Troy
Acute Care Hospitals · Troy, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48081 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAINT CLAIR SHORES, MI 48081
SAINT CLAIR SHORES, MI 48081
ST CLR SHORES, MI 48081
SAINT CLAIR SHORES, MI 48081
SAINT CLAIR SHORES, MI 48081
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 Richard Cross's NPI number?
The NPI number for Richard Cross is 1972771061. It was assigned to this individual provider in the NPPES registry on February 12, 2008.
Where is Richard Cross located?
Richard Cross practices at 29001 Harper Ave, Saint Clair Shores, MI 48081. The listed phone number is (586) 778-0664.
What is Richard Cross's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.
Is Richard Cross enrolled in Medicare?
Yes. Richard Cross 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 organizations bill Medicare for Richard Cross's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Richard Cross reassigns Medicare benefits to 3 organizations: Kidney Care Specialists Of Michigan PC (Saint Clair Shores, MI), Kidney And Vascular Associates PC (Utica, MI) and Riverview Lifeline Center PLLC (Detroit, MI). Each 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 Richard Cross's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Richard Cross accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Priority Health and UnitedHealthcare list Richard Cross as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Richard Cross affiliated with any hospitals?
According to CMS data, Richard Cross is affiliated with Henry Ford Macomb Hospital, Beaumont Hospital - Grosse Pointe, Beaumont Hospital Royal Oak, Beaumont Hospital - Farmington Hills and Beaumont Hospital, Troy.
When was this NPI record last updated?
The NPPES record for Richard Cross was last updated on February 8, 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.
# Richard John Cross, MD · NPI 1972771061
Nephrology physician in Saint Clair Shores, Michigan. Individual provider, active in the CMS NPPES registry since February 12, 2008.
## Identity
- **NPI:** 1972771061 (Entity type: Individual)
- **Enumerated:** February 12, 2008
- **Primary specialty:** Internal Medicine - Nephrology · taxonomy 207RN0300X
- **State license:** 4301086082 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 29001 HARPER AVE, Saint Clair Shores, MI 48081-2711
- **Phone:** (586) 778-0664 · **Fax:** (586) 778-0396
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Kidney Care Specialists Of Michigan PC (NPI 1588960298, Saint Clair Shores, MI); Kidney And Vascular Associates PC (NPI 1750095212, Utica, MI); Riverview Lifeline Center PLLC (NPI 1528130325, Detroit, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** February 8, 2016
- **Other identifiers:** Medicare PIN 0M71670 (MI); Other OQ262160 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1972771061) · Data from the CMS NPPES public registry.