Individual provider Active NPI

Ramon Eduardo Santos Olivera, M.D.

  • Family Medicine Physician
  • Fishers, IN
National Provider Identifier
1053867309
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01084650A Issued in IN
Practice address
9894 E 121St St
Fishers, IN 46037-4154
Phone
(317) 621-6060
NPI assigned
Aug 28, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01084650A IN Primary
Student in an Organized Health Care Education/Training Program 390200000X 11019087A IN

Addresses

Primary practice location

9894 E 121St St
Fishers, IN 46037-4154

Mailing address

6626 E 75TH St Ste 500
Indianapolis, IN 46250-2890

Other practice location 1

1520 North Senate Avenue
Indianapolis, IN 46202
Phone (317) 962-8188

Other practice location 2

3125 S Scatterfield Rd Ste 300
Anderson, IN 46013-1803
Phone (765) 298-4630

Other identifiers 1

IdentifierTypeStateIssuer
11019087A.OtherINMEDICAL RESIDENCY PERMIT (ISSUED BY THE INDIANA PROFESSIONAL LICENCING AGENCY)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20200915001203 IN Practitioner - Family Practice 3870889009 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hancock Physician Network LLCGroup PAC ID 8325952633, 139 clinicians
Community Physicians of Indiana IncGroup PAC ID 1759416662, 1,569 clinicians
Arm Specialists LLCGroup PAC ID 8729214887, 18 clinicians
Westview Delivery System IncGroup PAC ID 3476084120, 14 clinicians

Practice addresses (Care Compare)

1 Memorial SQ
Suite 2200
Greenfield, IN 46140-1378
Phone (317) 462-6662

3125 S Scatterfield Rd
Suite 300
Anderson, IN 46013-1803
Phone (765) 298-4630

7230 Arbuckle CMNS
Suite 178
Brownsburg, IN 46112-2286
Phone (317) 456-2764

9894 E 121St St
Fishers, IN 46037-4154
Phone (317) 621-6060

Hospital & facility affiliations

  • Hancock Regional Hospital Hospital, Greenfield, IN, CCN 150037
  • Ascension St Vincent Hospital Hospital, Indianapolis, IN, CCN 150084
  • Morristown Manor Nursing home, Morristown, IN, CCN 155691
  • Edgewater Woods Nursing home, Anderson, IN, CCN 155066

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11019087AINMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Westview Delivery System Inc CurrentSince Sep 1, 2025 Accepting new patients
Sound Physicians of Indiana, LLC Family Medicine Current Accepting new patients
Community Physicians of Indiana Inc CurrentSince Sep 21, 2020 Accepting new patients
Hancock Physician Network, LLC Family Medicine CurrentSince Mar 1, 2025 Accepting new patients
Sound Physicians of Indiana, LLC Family Medicine CurrentSince Jan 27, 2025 Accepting new patients
Community Physicians of Indiana Inc Family Medicine CurrentSince Sep 21, 2020 Accepting new patients
Arm Specialists, LLC CurrentSince Dec 23, 2025 Accepting new patients
Sound Physicians of Indiana, LLC Family Medicine CurrentSince Jan 27, 2025 Accepting new patients
Major Hospital Past Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

3125 S Scatterfield Rd
Ste 300
Anderson, IN 46013
Phone (765) 298-4311

7230 Arbuckle Cmns
Ste 178
Brownsburg, IN 46112
Phone (317) 456-2764

9894 E 121st St
Fishers, IN 46037
Phone (317) 621-2273

801 N State St
Ste 2000
Greenfield, IN 46140
Phone (317) 325-2727

1 Memorial Sq
Ste 2200
Greenfield, IN 46140
Phone (317) 462-6662

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443

Interoperability endpoints

  • Direct secure messaging: rsantosolivera350688@ecommunitydirect.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Edgewater WoodsAnderson, IN, CCN 155066 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jul 27, 2022
Apr 29, 2026

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 9

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 5

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": "1739750400000",
    "number": "1053867309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6626 E 75TH ST STE 500",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9894 E 121ST ST",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460374154",
            "telephone_number": "317-621-6060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1520 North Senate Avenue",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "46202",
            "country_code": "US",
            "telephone_number": "317-962-8188",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3125 S Scatterfield Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "IN",
            "postal_code": "460131803",
            "country_code": "US",
            "telephone_number": "765-298-4630",
            "fax_number": "765-298-4901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTOS OLIVERA",
        "first_name": "RAMON",
        "middle_name": "EDUARDO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-28",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01084650A",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IN",
            "license": "11019087A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL RESIDENCY PERMIT (ISSUED BY THE INDIANA PROFESSIONAL LICENCING AGENCY)",
            "identifier": "11019087A.",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

Verify at the official NPI Registry.