Theodore Gross
NPI 1922531508 · Pediatrics Physician · Fruitland, ID
Enrolled with Medicare as Order and Referring Only - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Theodore Gross is a Pediatrics Physician provider in Fruitland, ID (NPI 1922531508).
Provider details
- NPI number
- 1922531508
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-04-10
- Last updated
- 2025-08-05
- Certified
- 2025-08-05
Frequently asked questions
- What is Theodore Gross's NPI number?
- Theodore Gross's National Provider Identifier (NPI) is 1922531508, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theodore Gross's specialty?
- Theodore Gross is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Theodore Gross located?
- Theodore Gross's practice location on file with NPPES is 1100 Nw 12th St, Fruitland, ID 83619-5040.
- What is Theodore Gross's phone number?
- The practice phone number listed in the NPPES registry for Theodore Gross is (208) 452-6556.
- Does Theodore Gross accept Medicare?
- Theodore Gross is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Theodore Gross's NPI active?
- Yes — Theodore Gross's NPI (1922531508) is active in the NPPES registry as of the last update on 2025-08-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.