Individual provider Active NPI

Rafael De la Garza Ramos, M.D.

  • Neurological Surgery Physician
  • Bronx, NY
National Provider Identifier
1225487366
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
328606 Issued in NY
Practice address
3316 Rochambeau Ave FL 3
Bronx, NY 10467-2841
Phone
(718) 920-7400
Fax
(718) 547-4591
NPI assigned
Jun 9, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X 328606 NY Primary
Neurological Surgery Physician 207T00000X MD19037 RI

Addresses

Primary practice location

3316 Rochambeau Ave FL 3
Bronx, NY 10467-2841

Mailing address

3316 Rochambeau Ave FL 3
Bronx, NY 10467-2841
Phone (718) 920-7400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20240715000251 NY Practitioner - Neurosurgery 5193181865 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

Practice addresses (Care Compare)

111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255

Hospital & facility affiliations

  • Montefiore Medical Center Hospital, Bronx, NY, CCN 330059
  • White Plains Hospital Center Hospital, White Plains, NY, CCN 330304
  • Nyack Hospital Hospital, Nyack, NY, CCN 330104

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
328606NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Newport Hospital Multi-Specialty CurrentSince Jul 1, 2023 Accepting new patients
Newport Hospital Multi-Specialty CurrentSince Jul 1, 2023 Accepting new patients
Montefiore Medical Center Multi-Specialty CurrentSince Jun 14, 2024 Accepting new patients
Lifespan Physician Group, Inc. Multi-Specialty CurrentSince Jul 1, 2023 Accepting new patients
Montefiore Medical Center CurrentSince Jun 14, 2024 Accepting new patients
Lifespan Physician Group, Inc. Multi-Specialty CurrentSince Jul 1, 2023 Accepting new patients
Montefiore Medical Center Past Accepting new patients

Locations

3316 Rochambeau Ave
Bronx, NY 10467
Phone (718) 920-5400

111 E 210th St
Bronx, NY 10467

3316 Rochambeau Ave
Fl 3
Bronx, NY 10467
Phone (718) 920-7400

11 Friendship St
Ste 130
Newport, RI 02840
Phone (401) 845-1190

11 Friendship St
Newport, RI 02840
Phone (401) 845-1110

185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050

593 Eddy St
#6
Providence, RI 02903
Phone (401) 793-9166

117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318

593 Eddy St
#7
Providence, RI 02903
Phone (401) 444-3565

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: rdelag@montefioredirect.com

Organizations & group practices 7

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.

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": "1465430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1225487366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3316 ROCHAMBEAU AVE FL 3",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104672841",
            "telephone_number": "718-920-7400",
            "fax_number": "718-547-4591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3316 ROCHAMBEAU AVE FL 3",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104672841",
            "telephone_number": "718-920-7400",
            "fax_number": "718-547-4591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA GARZA RAMOS",
        "first_name": "RAFAEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-09",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": "NY",
            "license": "328606",
            "primary": true
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "RI",
            "license": "MD19037",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.