Individual provider Active NPI

Ramon Sabastian Mourelo, MD

  • Surgery Physician
  • Casa Grande, AZ
National Provider Identifier
1528095262
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
35546 Issued in AZ
Practice address
1828 E Florence Blvd Ste 110
Casa Grande, AZ 85122-4783
Phone
(520) 876-0416
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X AZ 35546 AZ
Surgery Physician 208600000X 35546 AZ Primary

Addresses

Primary practice location

1828 E Florence Blvd Ste 110
Casa Grande, AZ 85122-4783

Mailing address

PO Box 749495
Atlanta, GA 30374-9495
Phone (239) 432-8331

Other identifiers 4

IdentifierTypeStateIssuer
115874MedicaidAZ
5058816OtherAZCIGNA
P01342438OtherFLRR MEDICARE
35546OtherAZARIZONA MEDICAL BOARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20070103000125 AZ Practitioner - General Surgery 6901806603 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner Physician Specialists Arizona LLCGroup PAC ID 6204002272, 371 clinicians

Practice addresses (Care Compare)

1828 E Florence Blvd
BLDG a Suite 110
Casa Grande, AZ 85122-4783
Phone (520) 876-4006

Hospital & facility affiliations

  • Banner Casa Grande Medical Center Hospital, Casa Grande, AZ, CCN 030016

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)23
Mastectomy27
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AZ 35546AZMDSpecialist
35546AZMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Physician Specialists Arizona LLC CurrentSince Feb 11, 2026 Accepting new patients
American Oncology Partners PA CurrentSince Nov 1, 2021 Accepting new patients
Banner Physician Specialists Arizona LLC CurrentSince Feb 11, 2026 Accepting new patients
Casa Grande Community Hospital Past Accepting new patients
Banner Physician Specialists Arizona LLC Past Accepting new patients
Regional Care Physicians Grooup Surgery Past Accepting new patients
Casa Grande Community Hospital Past Accepting new patients

Locations

1828 E Florence Blvd
Ste 110
Casa Grande, AZ 85122
Phone (520) 381-6736

1800 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-6285

1876 E Sabin Dr
Ste 10
Casa Grande, AZ 85122
Phone (520) 233-3888

1281 E Cottonwood Ln
Casa Grande, AZ 85122
Phone (520) 836-9800

580 N Camino Mercado
Ste 5
Casa Grande, AZ 85122
Phone (520) 426-3855

9165 W Thunderbird Rd
Ste 200
Peoria, AZ 85381
Phone (623) 285-1120

Organizations & group practices 7

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1528095262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749495",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303749495",
            "telephone_number": "239-432-8331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1828 E FLORENCE BLVD STE 110",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851224783",
            "telephone_number": "520-876-0416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOURELO",
        "first_name": "RAMON",
        "middle_name": "SABASTIAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "AZ 35546",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "35546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115874",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5058816",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01342438",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA MEDICAL BOARD",
            "identifier": "35546",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Casa Grande, AZ

Sources for this page

Verify at the official NPI Registry.