Individual provider Active NPI

Jeremias Ramos

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1497437099
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1130546 Issued in TX
Practice address
902 Hagen Way
San Antonio, TX 78221-4458
Phone
(210) 577-8494
NPI assigned
Aug 2, 2023
Last updated
Aug 2, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1130546 TX Primary

Addresses

Primary practice location

902 Hagen Way
San Antonio, TX 78221-4458

Mailing address

1721 S WW White Rd Ste 120-131
San Antonio, TX 78220-1517
Phone (210) 577-8494

Other identifiers 1

IdentifierTypeStateIssuer
93-1915582OtherIRS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20241104003874 TX Practitioner - Nurse Practitioner 2769915339 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mark a Rodriguez MD, PA CurrentSince Mar 3, 2025 Accepting new patients

Locations

11515 Toepperwein Rd
Ste 202
Live Oak, TX 78233
Phone (210) 646-0404

12602 Toepperwein Rd
Ste 201
Live Oak, TX 78233
Phone (210) 646-0404

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FDHFDD/Endpoint/FDHFDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/ICEADD

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1690934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1497437099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 S WW WHITE RD STE 120-131",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782201517",
            "telephone_number": "210-577-8494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 HAGEN WAY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782214458",
            "telephone_number": "210-577-8494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMOS",
        "first_name": "JEREMIAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-02",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1130546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IRS",
            "identifier": "93-1915582",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.