Individual provider Active NPI

Andy John Marcelo Cayton Ramos, CRNP

  • Primary Care Nurse Practitioner
  • Nottingham, MD
National Provider Identifier
1326692450
Registry record updated Jul 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
161121 Issued in MD
Practice address
4155 Glen Park Rd
Nottingham, MD 21236-1019
Phone
(410) 248-0661
NPI assigned
Jul 26, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 161121 MD Primary

Addresses

Primary practice location

4155 Glen Park Rd
Nottingham, MD 21236-1019

Mailing address

9407 Georgia Belle Dr
Perry Hall, MD 21128-8819
Phone (410) 256-9178

Other names 1

  • Mr. Andy John Cayton Ramos Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230622002223 MD Practitioner - Nurse Practitioner 8921413063 Reassigns benefits to 1 organization
I20260427003622 DC Practitioner - Nurse Practitioner 8921413063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

1406 Crain S Hwy 106
Glen Burnie, MD 21061-4086
Phone (410) 768-6440

4660 Wilkens Ave
Suite 100
Baltimore, MD 21229-4899
Phone (410) 247-0782

Hospital & facility affiliations

  • Medstar Health Home Care Home health agency, Baltimore, MD, CCN 217068

Merit-based Incentive Payment System (MIPS)

Final score
82.34 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
69.47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC CurrentSince May 9, 2023 Accepting new patients
Medstar Medical Group II LLC CurrentSince May 9, 2023 Accepting new patients

Locations

3007 Tilden St NW
Ste 5N
Washington, DC 20008

29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300

1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440

1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440

9512 Harford Rd
Ste 201
Parkville, MD 21234
Phone (410) 882-0600

Organizations & group practices 2

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": "1564099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564099200000",
    "number": "1326692450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9407 GEORGIA BELLE DR",
            "city": "PERRY HALL",
            "state": "MD",
            "postal_code": "211288819",
            "telephone_number": "410-256-9178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4155 GLEN PARK RD",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212361019",
            "telephone_number": "410-248-0661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMOS",
        "first_name": "ANDY JOHN MARCELO",
        "middle_name": "CAYTON",
        "name_prefix": "Mr.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-26",
        "last_updated": "2019-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MD",
            "license": "161121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDY JOHN",
            "last_name": "RAMOS",
            "middle_name": "CAYTON",
            "prefix": "MR.",
            "credential": "CRNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Nottingham, MD

Sources for this page

Verify at the official NPI Registry.