NPIMap

Individual provider Active NPI

Ricardo Ramos, M.D.

  • Family Medicine Physician
  • Port Orange, FL
National Provider Identifier
1639249246
Registry record updated Apr 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME35580 Issued in FL
Practice address
200 Lakeside Dr W
Port Orange, FL 32128-6625
Phone
(386) 322-0354
NPI assigned
Nov 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME35580 FL Primary
Emergency Medicine Physician 207P00000X 035580 FL

Addresses

Primary practice location

200 Lakeside Dr W
Port Orange, FL 32128-6625

Mailing address

200 Lakeside Dr W
Port Orange, FL 32128-6625
Phone (386) 322-0354

Other identifiers 1

IdentifierTypeStateIssuer
0386260MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070712000207 NM Practitioner - Family Practice 1658474887 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
035580FLMDEmergency Medicine Physician
ME35580FLMDFamily Medicine Physician
11282AZMDPhysician Assistant
13908NEMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Ess Hospitalist LLC CurrentSince Oct 31, 2017 Accepting new patients
Emergency Staffing Solutions Inc Emergency Medicine CurrentSince Oct 31, 2017 Accepting new patients
Bulldog Emergency Physicians Emergency Medicine Past Accepting new patients
Mesa General Emergency Physicians, LLC Emergency Medicine Past Accepting new patients
Box Butte General Hospital Past Accepting new patients
Emergency Medicine Professionals PA Emergency Medicine Past Accepting new patients
Box Butte General Hospital Past Accepting new patients
Me Urgent Care Nebraska, Inc Emergency Medicine Past Accepting new patients
Bert Fish Medical Center Inc Past Accepting new patients
Oregon Trail Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Ringtail Emergency Physicians Emergency Medicine Past Accepting new patients
Emergency Physicians at Sierra Vista Emergency Medicine Past Accepting new patients
Stronghold Emergency Physicians Emergency Medicine Past Accepting new patients
Southeast Volusia Medical Services Inc Emergency Medicine Past Accepting new patients

Locations

1313 E 32nd St
Silver City, NM 88061
Phone (505) 537-4953

800 E 9th Ave
Truth Or Consequences, NM 87901
Phone (505) 743-1270

17304 Preston Rd
Ste 1400
Dallas, TX 75252
Phone (972) 934-3200

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618531200000",
    "number": "1639249246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 LAKESIDE DR W",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321286625",
            "telephone_number": "386-322-0354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 LAKESIDE DR W",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321286625",
            "telephone_number": "386-322-0354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMOS",
        "first_name": "RICARDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME35580",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "035580",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0386260",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orange, FL

Sources for this page

Verify at the official NPI Registry.