Active NPI
Octavio Ramilo, MD
- Pediatric Infectious Diseases Physician
- Memphis, TN
National Provider Identifier
1710947395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Infectious Diseases Physician
- License
- 68512
- Practice address
- 262 Danny Thomas PL
Memphis, TN 38105-3678 - Phone
- (901) 595-3300
- NPI assigned
- Mar 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Infectious Diseases Physician | 2080P0208X | 35094585 | OH | |
| Pediatric Infectious Diseases Physician | 2080P0208X | 68512 | TN | Primary |
Addresses
Primary practice location
262 Danny Thomas PL
Memphis, TN 38105-3678
Mailing address
262 Danny Thomas PL # Ms 515
Memphis, TN 38105-3678
Other practice location 1
555 S 18th St
Columbus, OH 43205-2654
Phone (614) 722-6200
Other practice location 2
380 Butterfly Gardens Dr
Columbus, OH 43215-7508
Phone (614) 722-6200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4280871 | Other | OH | CGS - MEDICARE |
| 2996432 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35094585 | OH | MD | Pediatric Infectious Diseases Physician |
| 68512 | TN | MD | Pediatric Infectious Diseases Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735516800000",
"number": "1710947395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "262 DANNY THOMAS PL # MS 515",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381053678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "262 DANNY THOMAS PL",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381053678",
"telephone_number": "901-595-3300"
}
],
"practiceLocations": [
{
"address_1": "555 S 18th St",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432052654",
"country_code": "US",
"telephone_number": "614-722-6200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "380 Butterfly Gardens Dr",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432157508",
"country_code": "US",
"telephone_number": "614-722-6200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAMILO",
"first_name": "OCTAVIO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-27",
"last_updated": "2024-12-30",
"certification_date": "2024-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0208X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Infectious Diseases",
"state": "OH",
"license": "35094585",
"primary": false
},
{
"code": "2080P0208X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Infectious Diseases",
"state": "TN",
"license": "68512",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CGS - MEDICARE",
"identifier": "4280871",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2996432",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.