Individual provider Active NPI

Raul Rodriguez Ramirez, M.D.

  • Pulmonary Disease Physician
  • Searcy, AR
National Provider Identifier
1720081789
Registry record updated Oct 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
R4544 Issued in AR
Practice address
606 W Arch Ave
Ste. a
Searcy, AR 72143-5206
Phone
(501) 279-0211
Fax
(501) 279-0213
NPI assigned
May 24, 2005
Reactivated
Mar 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X R4544 AR Primary

Addresses

Primary practice location

606 W Arch Ave
Ste. a
Searcy, AR 72143-5206

Mailing address

606 W Arch Ave
Ste a
Searcy, AR 72143-5206
Phone (501) 279-0211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20060717000359 AR Practitioner - Internal Medicine 9638126568 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R4544ARMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care 360 CurrentSince Jun 1, 2020 Accepting new patients
American Hope and Health Clinic Associates LLC CurrentSince Mar 15, 2022 Accepting new patients
St Vincent Physician Clinics LLC Past Accepting new patients

Locations

100 Shadow Oaks Dr
Sherwood, AR 72120
Phone (501) 918-9192

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": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191456000000",
    "number": "1720081789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 W ARCH AVE",
            "address_2": "STE A",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721435206",
            "telephone_number": "501-279-0211",
            "fax_number": "501-279-0213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 W ARCH AVE",
            "address_2": "STE. A",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721435206",
            "telephone_number": "501-279-0211",
            "fax_number": "501-279-0213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMIREZ",
        "first_name": "RAUL",
        "middle_name": "RODRIGUEZ",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2007-10-04",
        "deactivation_date": "2006-03-16",
        "reactivation_date": "2006-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AR",
            "license": "R4544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Searcy, AR

Sources for this page

Verify at the official NPI Registry.