Active NPI
Ramon A Santos, SOCIAL WORKER
- Social Worker
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6851113986
- Practice address
- 730 Cesar E Chavez Ave
Grand Rapids, MI 49503-4920 - Phone
- (616) 685-8400
- Fax
- (616) 685-1322
- NPI assigned
- Jun 27, 2017
- Last updated
- Apr 23, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 100115 | NY | |
| Social Worker | 104100000X | 6851113986 | MI | Primary |
Addresses
Primary practice location
730 Cesar E Chavez Ave
Grand Rapids, MI 49503-4920
Mailing address
PO Box 776974
Chicago, IL 60677-6974
Phone (231) 672-2119
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508386814 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
80 State St
Albany, NY 12207-2541
Phone (800) 997-6196
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6851113986 | MI | MD | Social Worker |
| 100115 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctor on Demand Professionals P C | Current | Accepting new patients | |
| Grow Healthcare Group PA | Current | Accepting new patients |
Locations
1 California St
Ste 2300
San Francisco, CA 94111
Phone (800) 929-0926
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
250 Monroe Ave NW
Ste 400
Grand Rapids, MI 49503
Phone (616) 441-4616
80 State St
Albany, NY 12207
Phone (415) 742-8411
165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964
Interoperability endpoints
- ramon.santos.1@30520.direct.athenahealth.com
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": "1498521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650672000000",
"number": "1508386814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 776974",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606776974",
"telephone_number": "231-672-2119",
"fax_number": "313-432-7759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "730 CESAR E CHAVEZ AVE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495034920",
"telephone_number": "616-685-8400",
"fax_number": "616-685-1322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTOS",
"first_name": "RAMON",
"middle_name": "A",
"credential": "SOCIAL WORKER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-06-27",
"last_updated": "2022-04-23",
"certification_date": "2022-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "100115",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6851113986",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1508386814",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.