Individual provider Active NPI

Vicente Separa Ramo Jr., MD

  • Family Medicine Physician
  • Honolulu, HI
National Provider Identifier
1770536443
Registry record updated Mar 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10117 Issued in HI
Practice address
634 Kalihi St
Suite 201
Honolulu, HI 96819-4000
Phone
(808) 841-7288
Fax
(808) 841-8841
NPI assigned
May 17, 2006
Last updated
Mar 23, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 10117 HI Primary

Addresses

Primary practice location

634 Kalihi St
Suite 201
Honolulu, HI 96819-4000

Mailing address

634 Kalihi St
Suite 201
Honolulu, HI 96819-4000
Phone (808) 841-7288

Other identifiers 2

IdentifierTypeStateIssuer
1639223209OtherHICORPORATION NPI
08922003MedicaidHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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
I20040416001468 HI Practitioner - Family Practice 7315932506 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vicente S Ramo MD PC IncGroup PAC ID 1951375302, 4 clinicians

Practice addresses (Care Compare)

634 Kalihi St
Honolulu, HI 96819-4000
Phone (808) 841-7288

94-216 Farrington Hwy
Suite 314
Waipahu, HI 96797-1925
Phone (808) 853-8870

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10117HIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vicente S Ramo MD PC Inc CurrentSince Feb 9, 2001 Accepting new patients
Emergency Medical Care West Past Accepting new patients

Locations

2055 N King St
Ste 108
Honolulu, HI 96819
Phone (808) 841-7288

634 Kalihi St
Ste 201
Honolulu, HI 96819
Phone (808) 841-7288

94-216 Farrington Hwy
Ste 314
Waipahu, HI 96797
Phone (808) 853-8870

Interoperability endpoints

  • Direct secure messaging: vicente.ramo@27107886366724.direct.elationemr.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269302400000",
    "number": "1770536443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "634 KALIHI ST",
            "address_2": "SUITE 201",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968194000",
            "telephone_number": "808-841-7288",
            "fax_number": "808-841-8841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 KALIHI ST",
            "address_2": "SUITE 201",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968194000",
            "telephone_number": "808-841-7288",
            "fax_number": "808-841-8841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMO",
        "first_name": "VICENTE",
        "middle_name": "SEPARA",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2010-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "10117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORPORATION NPI",
            "identifier": "1639223209",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08922003",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.