NPIMap

Individual provider Active NPI

Marlon Getulio Ramilo, M.D.

  • Cardiovascular Disease Physician
  • Modesto, CA
National Provider Identifier
1659316412
Registry record updated Jan 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A78835 Issued in CA
Practice address
1540 Florida Ave Ste 100
Modesto, CA 95350-4430
Phone
(209) 577-5557
Fax
(209) 579-7246
NPI assigned
Jun 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A78835 CA Primary
Nuclear Cardiology Physician 207UN0901X A78835 CA

Addresses

Primary practice location

1540 Florida Ave Ste 100
Modesto, CA 95350-4430

Mailing address

1540 Florida Ave Ste 100
Modesto, CA 95350-4430
Phone (209) 577-5557

Other identifiers 1

IdentifierTypeStateIssuer
00A788350MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20051019001007 CA Practitioner - Cardiovascular Disease (Cardiology) 3870519713 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of California, San Francisco School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valley Heart Associates Medical Group IncGroup PAC ID 1254354111, 10 clinicians

Practice addresses (Care Compare)

1051 E Tuolumne Rd
Suite 101
Turlock, CA 95382-1546
Phone (209) 632-2200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.35 of 100Reported as group
Quality
88.32
Improvement activities
40
Cost
77.64

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A78835CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Heart Associates Medical Group Inc Cardiovascular Disease CurrentSince Oct 23, 2006 Accepting new patients
Doctors Medical Center of Modesto PastSince Oct 23, 2006 Accepting new patients

Locations

1540 Florida Ave
Ste 100
Modesto, CA 95350
Phone (209) 544-3236

1051 E Tuolumne Rd
Turlock, CA 95382

1051 E Tuolumne Rd
Ste 101
Turlock, CA 95382
Phone (209) 632-2200

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mramilo95710@hisp.ehr.sutterhealth.org
  • Direct secure messaging: marlon.ramilo.p1@direct.vhamg.nextgenshare.com
  • Direct secure messaging: marlon.ramilo.p107@direct.tenet.nextgenshare.com

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 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610928000000",
    "number": "1659316412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 FLORIDA AVE STE 100",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504430",
            "telephone_number": "209-577-5557",
            "fax_number": "207-579-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 FLORIDA AVE STE 100",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504430",
            "telephone_number": "209-577-5557",
            "fax_number": "209-579-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMILO",
        "first_name": "MARLON",
        "middle_name": "GETULIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-17",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A78835",
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "CA",
            "license": "A78835",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A788350",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.