Individual provider Active NPI

Roque S Ramos, M.D.

  • Internal Medicine Physician
  • Chesterfield, MO
National Provider Identifier
1609815240
Registry record updated Jul 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
100898 Issued in MO
Practice address
14897 Clayton Rd
Ste 100
Chesterfield, MO 63017-7887
Phone
(636) 391-1706
Fax
(636) 391-1201
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 100898 MO Primary
Emergency Medicine Physician 207P00000X 100898 MO

Addresses

Primary practice location

14897 Clayton Rd
Ste 100
Chesterfield, MO 63017-7887

Mailing address

2023 Brook Hill LN
Chesterfield, MO 63017-7944
Phone (636) 391-1706

Other identifiers 2

IdentifierTypeStateIssuer
036089824MedicaidIL
P00447284OtherILRR MEDICARE

Other names 1

  • Roque S Ramos Olivares Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20061024000147 MO Practitioner - Vascular SurgeryPractitioner - Internal MedicinePractitioner - Emergency Medicine 5496642076 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West County Internal Medicine LLCGroup PAC ID 8820412414, 2 clinicians

Practice addresses (Care Compare)

16216 Baxter Rd
Suite 250
Chesterfield, MO 63017-4779
Phone (636) 391-1706

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
42.87 of 100Reported as group
Quality
31.86
Promoting interoperability
0
Improvement activities
40
Cost
61.04

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
West County Internal Medicine LLC Internal Medicine CurrentSince May 1, 2020 Accepting new patients
Total Access Urgent Care, PC CurrentSince Aug 6, 2024 Accepting new patients
Total Access Urgent Care, PC Emergency Medicine CurrentSince Aug 6, 2024 Accepting new patients
Saint Anthony's Physician Group Internal Medicine Past Accepting new patients
SSM Health Care St. Louis Emergency Medicine Past Accepting new patients
Granite City Illinois Hospital Company LLC Past Accepting new patients

Locations

16216 Baxter Rd
Ste 250
Chesterfield, MO 63017
Phone (636) 391-1706

16216 Baxter Rd
Ste 320
Chesterfield, MO 63017
Phone (636) 391-1706

9556 Manchester Rd
Saint Louis, MO 63119
Phone (314) 373-5740

1717 Madison Ave
Washington, MO 63090
Phone (636) 244-6950

13861 Manchester Rd
Wildwood, MO 63011
Phone (636) 220-9333

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

Hospital & facility affiliations 2

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1609815240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2023 BROOK HILL LN",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630177944",
            "telephone_number": "636-391-1706",
            "fax_number": "636-391-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14897 CLAYTON RD",
            "address_2": "STE 100",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630177887",
            "telephone_number": "636-391-1706",
            "fax_number": "636-391-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMOS",
        "first_name": "ROQUE",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "100898",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "100898",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036089824",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00447284",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROQUE",
            "last_name": "RAMOS OLIVARES",
            "middle_name": "S",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chesterfield, MO

Sources for this page

Verify at the official NPI Registry.