Active NPI
Melissa Ramos, SA
- Surgical Assistant
- Aurora, IL
National Provider Identifier
1811634330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 204404
- Practice address
- 107 Raintree CT
Aurora, IL 60504-4082 - Phone
- (773) 630-2555
- NPI assigned
- May 16, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 204404 | IL | Primary |
Addresses
Primary practice location
107 Raintree CT
Aurora, IL 60504-4082
Mailing address
107 Raintree CT
Aurora, IL 60504-4082
Phone (773) 630-2555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 238.000737 | Other | IL | IDFP |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 204404 | IL | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652832000000",
"number": "1811634330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 RAINTREE CT",
"city": "AURORA",
"state": "IL",
"postal_code": "605044082",
"telephone_number": "773-630-2555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 RAINTREE CT",
"city": "AURORA",
"state": "IL",
"postal_code": "605044082",
"telephone_number": "773-630-2555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAMOS",
"first_name": "MELISSA",
"credential": "SA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-16",
"last_updated": "2022-05-18",
"certification_date": "2022-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "IL",
"license": "204404",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IDFP",
"identifier": "238.000737",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Aurora, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.