Active NPI
Justin Todd Ramza, MD
- Pain Medicine (Anesthesiology) Physician
- Loves Park, IL
National Provider Identifier
1184775264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- Practice address
- 2028 E Riverside Blvd
Loves Park, IL 61111-4804 - Phone
- (815) 282-5300
- NPI assigned
- Jan 15, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | IL | ||
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | IL | Primary |
Addresses
Primary practice location
2028 E Riverside Blvd
Loves Park, IL 61111-4804
Mailing address
4140 Old Golf Rd
Loves Park, IL 61111-7630
Phone (815) 988-9885
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 210693 | Other | IL | MEDICARE GROUP NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-106839 | IL | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Associates, LTD | Pain Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pain Medicine (Anesthesiology) Physician
- Aurora, IL
- NPI 1952308223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193270400000",
"number": "1184775264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4140 OLD GOLF RD",
"city": "LOVES PARK",
"state": "IL",
"postal_code": "611117630",
"telephone_number": "815-988-9885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2028 E RIVERSIDE BLVD",
"city": "LOVES PARK",
"state": "IL",
"postal_code": "611114804",
"telephone_number": "815-282-5300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAMZA",
"first_name": "JUSTIN",
"middle_name": "TODD",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-15",
"last_updated": "2007-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NUMBER",
"identifier": "210693",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Loves Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.