Individual provider Active NPI

Jorge Marcelo Ramirez Romero, M.D.

  • Interventional Cardiology Physician
  • Jacksonville, FL
National Provider Identifier
1629366984
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
ME166209 Issued in FL
Practice address
2 Shircliff Way Ste 300&400
Jacksonville, FL 32204-4753
Phone
(904) 388-1820
NPI assigned
Jul 20, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 11471A WY
Interventional Cardiology Physician 207RI0011X 2020036967 MO
Interventional Cardiology Physician 207RI0011X ME166209 FL Primary

Addresses

Primary practice location

2 Shircliff Way Ste 300&400
Jacksonville, FL 32204-4753

Mailing address

2 Shircliff Way Ste 300&400
Jacksonville, FL 32204-4753
Phone (904) 388-1820

Other practice location 1

1027 Bellevue Ave Ste 200
Saint Louis, MO 63117-1851
Phone (314) 645-6450

Other practice location 2

1402 S. Grand, FDT 14th Floor
st. louis, MO 63104
Phone (314) 577-8762

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210618001334 MO Practitioner - Interventional Cardiology 8224330659 Reassigns benefits to 1 organization
I20240712002025 FL Practitioner - Interventional Cardiology 8224330659 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
St. Louis College of Physicians and Surgeons, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent'S Ambulatory Care IncGroup PAC ID 2860411188, 303 clinicians

Practice addresses (Care Compare)

2 Shircliff Way
Suite 300
Jacksonville, FL 32204-4767
Phone (904) 308-2006

Hospital & facility affiliations

  • Ascension St Vincent'S Riverside Hospital, Jacksonville, FL, CCN 100040
  • Ascension St Vincent'S Southside Hospital, Jacksonville, FL, CCN 100307
  • Ed Fraser Memorial Hospital Hospital, Macclenny, FL, CCN 100134
  • Ascension St Vincent'S Clay County Hospital, Middleburg, FL, CCN 100321
  • Baptist Health Medical Center - Jacksonville Hospital, Jacksonville, FL, CCN 100088

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting12
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME166209FLMDInterventional Cardiology Physician
2020036967MOMDInterventional Cardiology Physician
11471AWYMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Health Care St Louis CurrentSince Aug 2, 2021 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Sep 1, 2024 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Sep 1, 2024 Accepting new patients

Locations

2 Shircliff Way
Ste 300
Jacksonville, FL 32204
Phone (904) 308-7959

2 Shircliff Way
Ste 300400
Jacksonville, FL 32204

2 Shircliff Way
Ste 400
Jacksonville, FL 32204
Phone (904) 308-4000

2300 Park Ave
Ste 101B
Orange Park, FL 32073
Phone (904) 249-4888

7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

3555 Sunset Office Dr
Ste C100
Saint Louis, MO 63127
Phone (314) 238-9100

1035 Bellevue Ave
Ste 500
Saint Louis, MO 63117
Phone (314) 647-1115

6420 Clayton Rd
Saint Louis, MO 63117
Phone (314) 768-8442

1145 Corporate Lake Dr
Saint Louis, MO 63132
Phone (314) 989-6189

1027 Bellevue Ave
Ste 200
Saint Louis, MO 63117
Phone (314) 644-3336

Organizations & group practices 3

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 6

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": "1311120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1629366984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SHIRCLIFF WAY STE 300&400",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044753",
            "telephone_number": "904-388-1820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SHIRCLIFF WAY STE 300&400",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044753",
            "telephone_number": "904-388-1820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1027 Bellevue Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631171851",
            "country_code": "US",
            "telephone_number": "314-645-6450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1402 S. Grand, FDT 14th Floor",
            "address_purpose": "LOCATION",
            "city": "st. louis",
            "state": "MO",
            "postal_code": "63104",
            "country_code": "US",
            "telephone_number": "314-577-8762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAMIREZ ROMERO",
        "first_name": "JORGE",
        "middle_name": "MARCELO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-20",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "WY",
            "license": "11471A",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MO",
            "license": "2020036967",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME166209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.