Individual provider Active NPI

Ramon Leonard Carroll Jr., M.D.

  • Surgery Physician
  • Clewiston, FL
National Provider Identifier
1174524987
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME97506 Issued in FL
Practice address
224 West Circle Dr
Clewiston, FL 33440
Phone
(863) 301-5450
Fax
(863) 301-5430
NPI assigned
Aug 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME97506 FL Primary

Addresses

Primary practice location

224 West Circle Dr
Clewiston, FL 33440

Mailing address

224 West Circle Dr
Clewiston, FL 33440
Phone (239) 565-9437

Other identifiers 2

IdentifierTypeStateIssuer
AG739ZOtherFLMEDICARE PTAN
277596400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20071217000421 FL Practitioner - General Surgery 5193753200 Practice locations: Clewiston, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland River Hospital Inc Past Accepting new patients
Vitas Healthcare Corporation of Florida PastSince Mar 11, 2025 Accepting new patients
Mountain View Physician Practice Inc Surgery PastSince Jun 1, 2018 Accepting new patients
Emergency Coverage, LLC Past Accepting new patients
Jamestown Hma Physician Management LLC Surgery Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rcarroll275172@mhsdirect.net

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1174524987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 WEST CIRCLE DR",
            "city": "CLEWISTON",
            "state": "FL",
            "postal_code": "33440",
            "telephone_number": "239-565-9437",
            "fax_number": "863-301-5430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 WEST CIRCLE DR",
            "city": "CLEWISTON",
            "state": "FL",
            "postal_code": "33440",
            "telephone_number": "863-301-5450",
            "fax_number": "863-301-5430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "RAMON",
        "middle_name": "LEONARD",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2026-08-24",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME97506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "AG739Z",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277596400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clewiston, FL

Sources for this page

Verify at the official NPI Registry.