NPIMap

Individual provider Active NPI

Michael A Ramos, MD

  • Adolescent Medicine (Family Medicine) Physician
  • Pueblo, CO
National Provider Identifier
1699743724
Registry record updated Feb 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent Medicine (Family Medicine) PhysicianTaxonomy code 207QA0000X
License
DR.0027612 Issued in CO
Practice address
216 W 13TH St
Pueblo, CO 81003-3704
Phone
(719) 595-7474
Fax
(719) 595-7199
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2016

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 27612 CO
Adolescent Medicine (Family Medicine) Physician 207QA0000X DR.0027612 CO Primary

Addresses

Primary practice location

216 W 13TH St
Pueblo, CO 81003-3704

Mailing address

PO Box 560825
Denver, CO 80256-0825
Phone (719) 595-7580

Other identifiers 1

IdentifierTypeStateIssuer
30589568MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20120416000814 CO Practitioner - Family Practice 2062673197 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

121 S Crescent Dr
Pueblo West, CO 81007-5433
Phone (719) 595-7575

216 W 13TH St
Pueblo, CO 81003-3704
Phone (719) 595-7474

400 W 16TH St
Pueblo, CO 81003-2745
Phone (719) 584-4921

4404 Barranca LN
Unit 101
Castle Rock, CO 80104-7419
Phone (720) 733-5260

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27612COMDFamily Medicine Physician
DR.0027612COMDAdolescent Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pueblo Community Health Center Inc CurrentSince Apr 23, 2018 Accepting new patients
Pueblo Community Health Center Inc CurrentSince Apr 23, 2018 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Jun 1, 2025 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Jun 1, 2025 Accepting new patients
Parkview Medical Center, Inc. Past Accepting new patients

Locations

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

400 W 16th St
Pueblo, CO 81003
Phone (719) 584-4000

110 E Routt Ave
Pueblo, CO 81004
Phone (719) 543-8718

1600 N Grand Ave
Ste 260
Pueblo, CO 81003
Phone (719) 543-6755

216 W 13th St
Pueblo, CO 81003
Phone (719) 544-8250

1619 N Greenwood St
Ste 106
Pueblo, CO 81003
Phone (719) 595-7760

300 Colorado Ave
Pueblo, CO 81004
Phone (719) 543-8718

Organizations & group practices 5

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 11

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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454630400000",
    "number": "1699743724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 560825",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802560825",
            "telephone_number": "719-595-7580",
            "fax_number": "719-545-0176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 W 13TH ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810033704",
            "telephone_number": "719-595-7474",
            "fax_number": "719-595-7199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMOS",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2016-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "27612",
            "primary": false
        },
        {
            "code": "207QA0000X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": "CO",
            "license": "DR.0027612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30589568",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.