Active NPI
Jacob Ramos, MD
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Providence, RI
National Provider Identifier
1508358060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) Physician
- License
- MD17799
- Practice address
- 593 Eddy Street Apc Main
Providence, RI 02905-4541 - Phone
- (401) 444-5435
- NPI assigned
- May 31, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD17799 | RI | |
| Internal Medicine Physician | 207R00000X | 275769 | MA | |
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | MD17799 | RI | Primary |
Addresses
Primary practice location
593 Eddy Street Apc Main
Providence, RI 02905-4541
Mailing address
117 Ellenfield St Ste 101
Providence, RI 02905-4541
Phone (401) 444-6779
Other practice location 1
800 Washington St
Boston, MA 02111-1552
Phone (617) 636-5246
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 275769 | MA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hopehealth Hospice & Palliative Care | Current | Accepting new patients | |
| Hopehealth Hospice & Palliative Care | Current | Accepting new patients |
Locations
10 Emory St
Attleboro, MA 02703
Phone (401) 415-4618
1085 N Main St
Providence, RI 02904
Phone (401) 415-4200
593 Eddy St
Providence, RI 02903
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.
-
- Case Management Agency
- Providence, RI
- NPI 1790851590
-
- General Practice Physician
- Brockton, MA
- NPI 1720405988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672963200000",
"number": "1508358060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 ELLENFIELD ST STE 101",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029054541",
"telephone_number": "401-444-6779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "593 EDDY STREET APC MAIN",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029054541",
"telephone_number": "401-444-5435"
}
],
"practiceLocations": [
{
"address_1": "800 Washington St",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021111552",
"country_code": "US",
"telephone_number": "617-636-5246",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAMOS",
"first_name": "JACOB",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-31",
"last_updated": "2023-01-06",
"certification_date": "2023-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "RI",
"license": "MD17799",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "275769",
"primary": false
},
{
"code": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "RI",
"license": "MD17799",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.