Individual provider Active NPI

Jonathan Ramos

  • Family Medicine Physician
  • Saint John, IN
National Provider Identifier
1487045399
Registry record updated Aug 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01080145A Issued in IN
Practice address
9660 Wicker Ave
Saint John, IN 46373-9487
Phone
(219) 365-1166
NPI assigned
Feb 13, 2015
Last updated
Aug 16, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 01080145A IN Primary

Addresses

Primary practice location

9660 Wicker Ave
Saint John, IN 46373-9487

Mailing address

9660 Wicker Ave
Saint John, IN 46373-9487
Phone (219) 365-1166

Other practice location 1

527 Medical Park Dr Ste 500
Bridgeport, WV 26330-9010
Phone (681) 342-3500

Other practice location 2

527 Medical Park Dr Ste 500
Bridgeport, WV 26330-9010
Phone (681) 342-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20180831000890 IN Practitioner - Family PracticePractitioner - Internal Medicine 2961715685 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Methodist Hospitals IncGroup PAC ID 9638063894, 131 clinicians
Dr Mary Tilak PCGroup PAC ID 1951490390, 9 clinicians
Indigo Partners LLCGroup PAC ID 6305202623, shared by 2 NPIs, 4 clinicians

Practice addresses (Care Compare)

1275 E N St
Crown Point, IN 46307-3538
Phone (219) 663-2793

200 E 89TH Ave
Merrillville, IN 46410-7318
Phone (219) 738-5330

6625 W Lincoln Hwy
Crown Point, IN 46307-9678
Phone (219) 922-8051

8701 Broadway
Merrillville, IN 46410-7035
Phone (219) 738-4926

9410 Calumet Ave
Suite 201
Munster, IN 46321-2812
Phone (219) 267-1799

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Mary Tilak PC CurrentSince May 1, 2022 Accepting new patients
Indigo Partners LLC CurrentSince Feb 1, 2023 Accepting new patients
Indigo Partners LLC CurrentSince Feb 1, 2023 Accepting new patients
The Methodist Hospitals, Inc CurrentSince Aug 1, 2021 Accepting new patients
The Methodist Hospitals, Inc CurrentSince Aug 1, 2021 Accepting new patients
Cardiovascular Consultants PC Past Accepting new patients

Locations

27350 Network Pl
Chicago, IL 60673

1275 E North St
Crown Point, IN 46307
Phone (219) 663-2793

1275 E North St
Ste 102
Crown Point, IN 46307
Phone (219) 922-8051

6625 W US Highway 30
Crown Point, IN 46307
Phone (219) 440-5360

2203 45th St
Highland, IN 46322

2241 45th St
Highland, IN 46322
Phone (219) 738-1736

200 E 89th Ave
Merrillville, IN 46410
Phone (219) 738-4926

751 E 81st Ave
Merrillville, IN 46410
Phone (219) 738-6600

8701 Broadway
Merrillville, IN 46410
Phone (219) 738-4926

9410 Calumet Ave
Ste 101
Munster, IN 46321
Phone (219) 922-8051

9410 Calumet Ave
Ste 201
Munster, IN 46321
Phone (219) 267-1799

7860 Burr St
Schererville, IN 46375
Phone (219) 738-5930

1781 Morthland Dr
Valparaiso, IN 46385
Phone (219) 299-2736

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CBEIBA
  • Direct secure messaging: jramos126506@themethodisthospitals.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1423785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534377600000",
    "number": "1487045399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9660 WICKER AVE",
            "city": "SAINT JOHN",
            "state": "IN",
            "postal_code": "463739487",
            "telephone_number": "219-365-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9660 WICKER AVE",
            "city": "SAINT JOHN",
            "state": "IN",
            "postal_code": "463739487",
            "telephone_number": "219-365-1166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "527 Medical Park Dr Ste 500",
            "address_purpose": "LOCATION",
            "city": "Bridgeport",
            "state": "WV",
            "postal_code": "263309010",
            "country_code": "US",
            "telephone_number": "681-342-3500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "527 Medical Park Dr Ste 500",
            "address_purpose": "LOCATION",
            "city": "Bridgeport",
            "state": "WV",
            "postal_code": "263309010",
            "country_code": "US",
            "telephone_number": "681-342-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAMOS",
        "first_name": "JONATHAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-13",
        "last_updated": "2018-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01080145A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint John, IN

Sources for this page

Verify at the official NPI Registry.