Individual provider Active NPI

Ivan Ramirez de Oleo, MD

  • Rheumatology Physician
  • Croton on Hudson, NY
National Provider Identifier
1013463397
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
301459 Issued in NY
Practice address
440 S Riverside Ave
Croton on Hudson, NY 10520-3059
Phone
(914) 269-1700
Fax
(914) 271-2536
NPI assigned
Aug 28, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 301459 NY Primary

Addresses

Primary practice location

440 S Riverside Ave
Croton on Hudson, NY 10520-3059

Mailing address

440 S Riverside Ave
Croton on Hudson, NY 10520-3059
Phone (914) 269-1700

Other practice location 1

Jacobi Medical Center 1400 Pelham Parkway South
Bronx, NY 10461
Phone (347) 720-9060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220603001110 NY Practitioner - Rheumatology 0345577474 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

440 S Riverside Ave
Croton on Hudson, NY 10520-3059
Phone (914) 269-1701

Hospital & facility affiliations

  • Phelps Hospital Hospital, Sleepy Hollow, NY, CCN 330261
  • Northern Westchester Hospital Hospital, Mount Kisco, NY, CCN 330162

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
301459NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Jul 8, 2022 Accepting new patients
Phelps Medical Services, PC Past Accepting new patients

Locations

300 Community Dr
Plandome, NY 11030

200 S Broadway
Ste 2-5
Tarrytown, NY 10591
Phone (914) 269-1790

972 Brush Hollow Rd
Westbury, NY 11590

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: iramirezdeoleo842268@nychhc.direct-ci.com
  • Direct secure messaging: iramirezdeoleo29049@northwell.direct-ci.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1013463397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 S RIVERSIDE AVE",
            "city": "CROTON ON HUDSON",
            "state": "NY",
            "postal_code": "105203059",
            "telephone_number": "914-269-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 S RIVERSIDE AVE",
            "city": "CROTON ON HUDSON",
            "state": "NY",
            "postal_code": "105203059",
            "telephone_number": "914-269-1700",
            "fax_number": "914-271-2536"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Jacobi Medical Center 1400 Pelham Parkway South",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "10461",
            "country_code": "US",
            "telephone_number": "347-720-9060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAMIREZ DE OLEO",
        "first_name": "IVAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-28",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NY",
            "license": "301459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Croton on Hudson, NY

Sources for this page

Verify at the official NPI Registry.