Individual provider Active NPI

Raul E Ramirez Acevedo, MD

  • Pediatric Endocrinology Physician
  • Hershey, PA
National Provider Identifier
1649299108
Registry record updated May 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X
License
MD447224 Issued in PA
Practice address
905 W Governor Rd
3Rd Floor, Suite 320
Hershey, PA 17033-2307
Phone
(717) 531-4751
Fax
(717) 531-6139
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Endocrinology Physician 2080P0205X MD447224 PA Primary

Addresses

Primary practice location

905 W Governor Rd
3Rd Floor, Suite 320
Hershey, PA 17033-2307

Mailing address

732 Weaber Ave
Palmyra, PA 17078-9104
Phone (210) 627-1785

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20121127000142 PA Practitioner - Pediatric MedicinePractitioner - Endocrinology 8820178155 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Milton S Hershey Medical Center Physician Group CurrentSince Jul 11, 2016 Accepting new patients
The Milton S Hershey Medical Center Physicians Group CurrentSince Jul 11, 2016 Accepting new patients
The Milton S Hershey Medical Center Physicians Group Current Accepting new patients

Locations

905 W Governor Rd
Ste 320
Hershey, PA 17033
Phone (717) 531-4751

500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131

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.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462492800000",
    "number": "1649299108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "732 WEABER AVE",
            "city": "PALMYRA",
            "state": "PA",
            "postal_code": "170789104",
            "telephone_number": "210-627-1785",
            "fax_number": "717-531-6139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 W GOVERNOR RD",
            "address_2": "3RD FLOOR, SUITE 320",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170332307",
            "telephone_number": "717-531-4751",
            "fax_number": "717-531-6139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMIREZ ACEVEDO",
        "first_name": "RAUL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2016-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "PA",
            "license": "MD447224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hershey, PA

Sources for this page

Verify at the official NPI Registry.