Active NPI
Alfonso Ramirez, M.D.
- Family Medicine Physician
- Dallas, TX
National Provider Identifier
1730158718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- F1919
- Practice address
- 1121 W Jefferson Blvd
Dallas, TX 75208-5145 - Phone
- (214) 943-5773
- Fax
- (469) 364-7978
- NPI assigned
- Mar 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | F1919 | TX | Primary |
Addresses
Primary practice location
1121 W Jefferson Blvd
Dallas, TX 75208-5145
Mailing address
1121 W Jefferson Blvd
Dallas, TX 75208-5145
Phone (214) 943-5773
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114491701 | Medicaid | TX | |
| 75-2169593 | Other | UHC & OTHER INS ID | |
| 4553489 | Other | AETNA PROVIDER NO | |
| 00PL08 | Other | TX | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100817001402 | TX | Practitioner - Family Practice | 5092849729 | Practice locations: Dallas, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Texas Southwestern Medical School at Dallas, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1121 W Jefferson Blvd
Dallas, TX 75208-5145
Phone (214) 943-5773
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- aramirez14137@dm.mhd.com
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Methodist Dallas Medical Center
- General Acute Care Hospital
- Dallas, TX
- NPI 1528027786
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": "1695168000000",
"number": "1730158718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1121 W JEFFERSON BLVD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752085145",
"telephone_number": "214-943-5773",
"fax_number": "214-948-3944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1121 W JEFFERSON BLVD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752085145",
"telephone_number": "214-943-5773",
"fax_number": "469-364-7978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAMIREZ",
"first_name": "ALFONSO",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-14",
"last_updated": "2023-09-20",
"certification_date": "2023-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "F1919",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114491701",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC & OTHER INS ID",
"identifier": "75-2169593",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER NO",
"identifier": "4553489",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "00PL08",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.