Active NPI
Ramon Leonard Carroll Jr., M.D.
- Surgery Physician
- Clewiston, FL
National Provider Identifier
1174524987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME97506
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AG739Z | Other | FL | MEDICARE PTAN |
| 277596400 | Medicaid | FL |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cumberland River Hospital Inc | Past | Accepting new patients | |
| Vitas Healthcare Corporation of Florida | Past | Accepting new patients | |
| Mountain View Physician Practice Inc | Surgery | Past | Accepting new patients |
| Emergency Coverage, LLC | Past | Accepting new patients | |
| Jamestown Hma Physician Management LLC | Surgery | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Community Based Hospice Care Agency
- Miami Lakes, FL
- NPI 1528113792
-
- Family Medicine Physician
- Celina, TN
- NPI 1558676445
-
- Family Medicine Physician
- Newport, TN
- NPI 1427005008
-
- Surgery Physician
- Jamestown, TN
- NPI 1831142447
-
- Surgery Physician
- Jamestown, TN
- NPI 1497242366
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.