Individual provider Active NPI

Mark Allan Ramirez, M.D.

  • Neurology Physician
  • Roseburg, OR
National Provider Identifier
1245400209
Registry record updated Sep 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD28193 Issued in OR
Practice address
1741 W. Harvard Ave
Roseburg, OR 97471-2716
Phone
(541) 440-5320
Fax
(541) 440-5322
NPI assigned
Mar 6, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 57.008415 OH
Neurology Physician 2084N0400X MD28139 OR
Neurology Physician 2084N0400X MD28193 OR Primary

Addresses

Primary practice location

1741 W. Harvard Ave
Roseburg, OR 97471-2716

Mailing address

PO Box 1700
Roseburg, OR 97470-0414
Phone (541) 440-5320

Other identifiers 1

IdentifierTypeStateIssuer
279201MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20080430000473 OR Practitioner - Neurology 7911086095 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1813 W Harvard Ave
Suite 426
Roseburg, OR 97471-8712

1813 W Harvard Ave
Suite 434
Roseburg, OR 97471-8705
Phone (541) 440-5320

Hospital & facility affiliations

  • Mercy Medical Center Hospital, Roseburg, OR, CCN 380027

Merit-based Incentive Payment System (MIPS)

Final score
23.47 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
78.25

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57.008415OHMDNeurology Physician
MD28139ORMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Umpqua Neurology PC Neurology CurrentSince Jan 1, 2017 Accepting new patients

Locations

1813 W Harvard Ave
Ste 434
Roseburg, OR 97471
Phone (541) 440-5320

1741 W Harvard Ave
Roseburg, OR 97471
Phone (541) 440-5320

1813 W Harvard Ave
Ste 426
Roseburg, OR 97471
Phone (541) 229-1611

Interoperability endpoints

  • Direct secure messaging: umpquaneurology.markramirez@142072.advancedmd-direct.com

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.

Hospital & facility affiliations 1

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": "1204761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442448000000",
    "number": "1245400209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1700",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974700414",
            "telephone_number": "541-440-5320",
            "fax_number": "541-440-5322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1741 W. HARVARD AVE",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974712716",
            "telephone_number": "541-440-5320",
            "fax_number": "541-440-5322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMIREZ",
        "first_name": "MARK",
        "middle_name": "ALLAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-06",
        "last_updated": "2015-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OH",
            "license": "57.008415",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OR",
            "license": "MD28139",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OR",
            "license": "MD28193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "279201",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseburg, OR

Sources for this page

Verify at the official NPI Registry.