SAMUEL E ROSS M.D. NPI 1275979296

NPI Information

NPI: 1275979296
Provider Name: SAMUEL E ROSS, M.D.
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual
PECOS Registration: Yes
Address: 24 HYDE ST
WAKEMAN, OH
ZIP 44889
Phone: (440) 839-2226

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NPI Details

Samuel E Ross, M.D. is an emergency medicine in Wakeman, OH with 13 years of experience. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. Samuel E Ross, M.D. NPI is 1275979296. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

24 HYDE ST
WAKEMAN, OH
ZIP 44889-301
Phone: (440) 839-2226
Fax: (440) 839-1339

The NPI 1275979296 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
Annual alcohol misuse screening, 15 minutes (HCPCS:G0442)
Annual depression screening, 15 minutes (HCPCS:G0444)
Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
Initial hospital observation care per day, typically 70 minutes (HCPCS:99220)

The enumeration date for this NPI number is 5/16/2013 and was last updated on 9/17/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	207Q00000X	Family Medicine	4301108033	MICHIGAN	No
2	207P00000X	Emergency Medicine	35.135213	OHIO	Yes
3	207Q00000X	Family Medicine	35.135213	OHIO	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0330079	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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