Individual provider Active NPI

Luis German Ramos, MD

  • Rheumatology Physician
  • Lake Mary, FL
National Provider Identifier
1235101486
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
ME78186 Issued in FL
Practice address
795 Primera Blvd Ste 1001
Lake Mary, FL 32746-2191
Phone
(386) 561-9967
Fax
(844) 815-1446
NPI assigned
Feb 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X L9863 TX
Rheumatology Physician 207RR0500X 182441 FL
Rheumatology Physician 207RR0500X ME78186 FL Primary

Addresses

Primary practice location

795 Primera Blvd Ste 1001
Lake Mary, FL 32746-2191

Mailing address

PO Box 850001
Orlando, FL 32885-0001

Other practice location 1

13696 N US Highway 441
Lady Lake, FL 32159-6814
Phone (352) 508-1502

Other practice location 2

759 Harley Strickland Blvd
Orange City, FL 32763-7954
Phone (386) 456-0300

Other practice location 3

1580 Santa Barbara Blvd
The Villages, FL 32159-6827
Phone (352) 259-2159

Other practice location 4

915 Harley Strickland Blvd
Orange City, FL 32763-7967
Phone (843) 450-5426

Other identifiers 2

IdentifierTypeStateIssuer
167720502MedicaidTX
E5573TOtherFLMEDICARE PTAN

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
I20080225000156 FL Practitioner - Rheumatology 9133198443 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 1983
Medicare assignment
May accept Medicare assignment
Group practices
Central Florida Rheumatology Consultants LLCGroup PAC ID 7214276922, 9 clinicians

Practice addresses (Care Compare)

759 Harley Strickland Blvd
Orange City, FL 32763-7954

915 Harley Strickland Blvd
Orange City, FL 32763-7967
Phone (386) 561-9967

Hospital & facility affiliations

  • Adventhealth Fish Memorial Hospital, Orange City, FL, CCN 100072
  • Adventhealth Deland Hospital, Deland, FL, CCN 100045

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
182441FLMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Florida Rheumatology Consultants LLC Rheumatology CurrentSince Jul 4, 2024 Accepting new patients
Primary Medical Care R Ayala MD PA PastSince Jul 20, 2009 Accepting new patients
Neel R. Patel, M.D., PLC PastSince Feb 1, 2019 Accepting new patients
Florida Medical Associates LLC PastSince Apr 3, 2023 Accepting new patients
Allergy Arts LLP Rheumatology PastSince Sep 8, 1998 Accepting new patients
Ammar Jarrous MD PA Past Accepting new patients

Locations

795 Primera Blvd
Ste 1001
Lake Mary, FL 32746
Phone (386) 561-9967

759 Harley Strickland Blvd
Orange City, FL 32763
Phone (386) 456-0300

915 Harley Strickland Blvd
Orange City, FL 32763
Phone (386) 456-0300

1639 N Volusia Ave
#B
Orange City, FL 32763
Phone (386) 775-2012

Organizations & group practices 6

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": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1235101486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850001",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328850001",
            "fax_number": "352-674-4386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 PRIMERA BLVD STE 1001",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462191",
            "telephone_number": "386-561-9967",
            "fax_number": "844-815-1446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13696 N US Highway 441",
            "address_purpose": "LOCATION",
            "city": "Lady Lake",
            "state": "FL",
            "postal_code": "321596814",
            "country_code": "US",
            "telephone_number": "352-508-1502",
            "fax_number": "352-674-4386",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "759 Harley Strickland Blvd",
            "address_purpose": "LOCATION",
            "city": "Orange City",
            "state": "FL",
            "postal_code": "327637954",
            "country_code": "US",
            "telephone_number": "386-456-0300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1580 Santa Barbara Blvd",
            "address_purpose": "LOCATION",
            "city": "The Villages",
            "state": "FL",
            "postal_code": "321596827",
            "country_code": "US",
            "telephone_number": "352-259-2159",
            "fax_number": "352-674-4386",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "915 Harley Strickland Blvd",
            "address_purpose": "LOCATION",
            "city": "Orange City",
            "state": "FL",
            "postal_code": "327637967",
            "country_code": "US",
            "telephone_number": "843-450-5426",
            "fax_number": "844-815-1446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAMOS",
        "first_name": "LUIS",
        "middle_name": "GERMAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "TX",
            "license": "L9863",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "FL",
            "license": "182441",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "FL",
            "license": "ME78186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167720502",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "E5573T",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

Verify at the official NPI Registry.