Individual provider Active NPI

Ramon Pla Varona Jr., MD

  • Internal Medicine Physician
  • Cleveland, OH
National Provider Identifier
1184715641
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.134915 Issued in OH
Practice address
10688 Lorain Ave
Cleveland, OH 44111-5411
Phone
(216) 682-7703
Fax
(216) 236-7768
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 40450 IA
Internal Medicine Physician 207R00000X 036 079717 IL
Internal Medicine Physician 207R00000X 036 074432 IL
Internal Medicine Physician 207R00000X 35.134915 OH Primary

Addresses

Primary practice location

10688 Lorain Ave
Cleveland, OH 44111-5411

Mailing address

30 W Monroe St Ste 1200
Chicago, IL 60603-2420
Phone (312) 733-9730

Other identifiers 2

IdentifierTypeStateIssuer
036074432MedicaidIL
35.134915OtherOHLICENSE

Other names 1

  • Dr. Ramon Pla Jr. Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20181204003552 OH Practitioner - Internal Medicine 1052306677 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osh-Oh Physicians Group PCGroup PAC ID 1759639693, 67 clinicians

Practice addresses (Care Compare)

10688 Lorain Ave
Cleveland, OH 44111-5411
Phone (216) 682-7703

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
40450IAMDInternal Medicine Physician
036 074432ILMDInternal Medicine Physician
036 079717ILMDInternal Medicine Physician
35.134915OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Osh-Oh Physicians Group PC Internal Medicine CurrentSince Oct 8, 2018 Accepting new patients
The Metrohealth System Current Accepting new patients
Grays Medical Center Internal Medicine CurrentSince Jul 26, 1991 Accepting new patients

Locations

30 W Monroe St
Ste 1200
Chicago, IL 60603
Phone (773) 609-1758

1835 N 19th Ave
Ste 103
Melrose Park, IL 60160
Phone (708) 345-5272

1835 Broadway St
Ste 207
Melrose Park, IL 60160

10688 Lorain Ave
Cleveland, OH 44111
Phone (216) 232-9807

10553 Saint Clair Ave
Cleveland, OH 44108
Phone (216) 682-7702

Interoperability endpoints

  • Direct secure messaging: ramon.pla@oakstreethealth.gwaydirect.com
  • Direct secure messaging: rplavarona166718@direct.metrohealth.org

Organizations & group practices 3

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1184715641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 W MONROE ST STE 1200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606032420",
            "telephone_number": "312-733-9730",
            "fax_number": "773-866-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10688 LORAIN AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441115411",
            "telephone_number": "216-682-7703",
            "fax_number": "216-236-7768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLA VARONA",
        "first_name": "RAMON",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "40450",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036 079717",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036 074432",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.134915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036074432",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "35.134915",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAMON",
            "last_name": "PLA",
            "prefix": "DR.",
            "suffix": "JR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.