Individual provider Active NPI

Jacquelyn L Ramirez, DO

  • Anesthesiology Physician
  • Indianapolis, IN
National Provider Identifier
1083643415
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
39690 Issued in CO
Practice address
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone
(317) 274-0275
Fax
(317) 274-5202
NPI assigned
Jun 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 5148 TN
Anesthesiology Physician 207L00000X 02007288A IN
Anesthesiology Physician 207L00000X 39690 CO Primary

Addresses

Primary practice location

1701 N Senate Blvd
Indianapolis, IN 46202-1239

Mailing address

PO Box 110429
Aurora, CO 80042-0429

Other practice location 1

2045 N Franklin St
Denver, CO 80205-5437
Phone (303) 338-4545

Other practice location 2

11700 N Meridian St
Carmel, IN 46032-4656
Phone (317) 577-4200

Other practice location 3

1100 Balsam Ave
Boulder, CO 80304-3404
Phone (303) 440-2092

Other practice location 4

12605 E 16th Ave
Aurora, CO 80045-2545
Phone (720) 848-0000

Other practice location 5

10415 Wallace Alley St
Kingsport, TN 37663-3936
Phone (423) 968-4050

Other names 1

  • Jackie Ramirez Other name

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address jramirez@direct.iuhealth.org Direct
SOAP URL https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggateways Health Information Exchange (HIE)
Direct Messaging Address jramirez@direct.iuhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, IN, AZ, TN, IA5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20041011000393 CO Practitioner - Anesthesiology 5496714883 Reassigns benefits to 3 organizations
I20230607001211 IN Practitioner - Anesthesiology 5496714883 Reassigns benefits to 3 organizations
I20240125000692 AZ Practitioner - Anesthesiology 5496714883 Reassigns benefits to 3 organizations
I20250121001936 TN Practitioner - Anesthesiology 5496714883 Reassigns benefits to 1 organization
I20250717002320 IA Practitioner - Anesthesiology 5496714883 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Michigan State University College of Osteopathic Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Anesthesia of Arizona PCGroup PAC ID 8224512090, 28 clinicians
Covenant Medical Center IncGroup PAC ID 0244148732, 234 clinicians
Mercy Medical CenterGroup PAC ID 4183535271, 295 clinicians

Practice addresses (Care Compare)

14200 W Celebrate Life Way
Goodyear, AZ 85338-3007
Phone (855) 761-0074

3421 W 9TH St
Mercyone Waterloo Medical Center
Waterloo, IA 50702-5401
Phone (319) 272-7050

701 10TH St SE
Cedar Rapids, IA 52403-1251

701 10TH St SE
Cedar Rapids, IA 52403-1292

701 10TH St SE J Edward Lundy
Mercy Pediatric Clinic
Cedar Rapids, IA 52403-1251
Phone (319) 832-2328

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5148TNMDProfessional Counselor
39690COMDAnesthesiology Physician
02007288AINMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ias Arizona PLLC Anesthesiology CurrentSince May 31, 2024 Accepting new patients
University Physicians Incorporated Anesthesiology CurrentSince Sep 1, 2023 Accepting new patients
Boulder Valley Anesthesiology, PLLC Anesthesiology CurrentSince Aug 1, 2001 Accepting new patients
Banner-University Medical Group Anesthesiology Current Accepting new patients
Iu Anesthesiology Associates, LLC Anesthesiology CurrentSince Jun 12, 2023 Accepting new patients
Paragon Anesthesia PC Anesthesiology CurrentSince Dec 26, 2024 Accepting new patients
Covenant Medical Center Inc CurrentSince Jul 1, 2025 Accepting new patients
University Physicians, Incorporated CurrentSince Sep 1, 2023 Accepting new patients
Mercy Medical Center CurrentSince May 22, 2025 Accepting new patients
Reid Physician Associates, Inc. CurrentSince May 2, 2024 Accepting new patients
Mercy Medical Center Current Accepting new patients
East Tennessee Ambulatory Surgery Center LLC CurrentSince Dec 26, 2024 Accepting new patients
Peak Anesthesia and Pain Management LLC Anesthesiology CurrentSince Feb 1, 2014 Accepting new patients
Banner-University Medical Group CurrentSince Jun 14, 2025 Accepting new patients
Indiana University Health Care Associates, Inc CurrentSince Sep 1, 2023 Accepting new patients
Reid Physician Associates, Inc CurrentSince May 2, 2024 Accepting new patients
Diehl Anesthesia Inc Anesthesiology CurrentSince Mar 27, 2018 Accepting new patients
Mercy Medical Center CurrentSince May 22, 2025 Accepting new patients
Covenant Medical Center, Inc. CurrentSince Jul 1, 2025 Accepting new patients
Banner-University Medical Group CurrentSince Jun 14, 2025 Accepting new patients
Premier Anesthesia of Arizona PC Anesthesiology CurrentSince Mar 1, 2026 Accepting new patients
University Medical Diagnostic Associates, Inc. Past Accepting new patients
Advanced Pain and Anesthesia Services, PC Past Accepting new patients
Singing River Health System Past Accepting new patients

Locations (25 of 29)

14200 W Celebrate Life Way
Goodyear, AZ 85338
Phone (623) 207-3000

1625 N Campbell Ave
Tucson, AZ 85719

3838 N Campbell Ave
Bldg 2
Tucson, AZ 85719

5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344

10360 E Drexel Rd
Tucson, AZ 85747
Phone (469) 340-1366

2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471

13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846

12605 E 16th Ave
Aurora, CO 80045
Phone (720) 848-0006

4747 Arapahoe Ave
Boulder, CO 80303
Phone (303) 415-7000

1100 Balsam Ave
Boulder, CO 80304
Phone (303) 415-7000

14100 E Arapahoe Rd
Centennial, CO 80112
Phone (303) 699-3000

13111 E Briarwood Ave
Ste 310
Centennial, CO 80112
Phone (720) 870-7226

Dept 1061
Denver, CO 80256

2045 N Franklin St
Denver, CO 80205
Phone (303) 764-4666

9395 Crown Crest Blvd
Parker, CO 80138
Phone (303) 269-4000

10170 Church Ranch Way
Westminster, CO 80021
Phone (303) 328-3400

226 Bluebell Rd
Cedar Falls, IA 50613
Phone (319) 575-5800

515 College St
Cedar Falls, IA 50613
Phone (319) 268-3000

701 10th St SE
Cedar Rapids, IA 52403
Phone (319) 398-6011

3421 W 9th St
Waterloo, IA 50702
Phone (319) 272-7050

5208 Reliable Pkwy
Chicago, IL 60686

11700 N Meridian St
Carmel, IN 46032
Phone (317) 688-2000

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

1130 W Michigan St
Indianapolis, IN 46202
Phone (317) 274-0076

Interoperability endpoints

  • Direct secure messaging: jramirez4443530@direct.trinity-health.org

Organizations & group practices 24

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.

View all 24

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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1083643415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110429",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800420429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 N SENATE BLVD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021239",
            "telephone_number": "317-274-0275",
            "fax_number": "317-274-5202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2045 N Franklin St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802055437",
            "country_code": "US",
            "telephone_number": "303-338-4545",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11700 N Meridian St",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "IN",
            "postal_code": "460324656",
            "country_code": "US",
            "telephone_number": "317-577-4200",
            "fax_number": "317-577-4200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 Balsam Ave",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803043404",
            "country_code": "US",
            "telephone_number": "303-440-2092",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12605 E 16th Ave",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800452545",
            "country_code": "US",
            "telephone_number": "720-848-0000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10415 Wallace Alley St",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376633936",
            "country_code": "US",
            "telephone_number": "423-968-4050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAMIREZ",
        "first_name": "JACQUELYN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TN",
            "license": "5148",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "02007288A",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CO",
            "license": "39690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jramirez@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1701 N Senate Blvd",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462021239",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggateways",
            "affiliation": "N",
            "endpointDescription": "CAREQUALITY",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "2045 N Franklin St",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802055437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jramirez@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "11700 N Meridian St",
            "city": "Carmel",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460324656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JACKIE",
            "last_name": "RAMIREZ",
            "credential": "DO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.