Active NPI
Mary Ramirez, MD
- Dermatology Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- S1238
- Practice address
- 10630 Braun Rd Ste 105
San Antonio, TX 78254-2734 - Phone
- (210) 838-2909
- Fax
- (210) 905-0121
- NPI assigned
- Apr 14, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | S1238 | TX | Primary |
Addresses
Primary practice location
10630 Braun Rd Ste 105
San Antonio, TX 78254-2734
Mailing address
10630 Braun Rd Ste 105
San Antonio, TX 78254-2734
Phone (210) 838-2909
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4531139-01 | Medicaid | TX |
Other names 1
- Mary Rose
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
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Texas Tech University Health Science Center School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10630 Braun Rd
Suite 106
San Antonio, TX 78254-2734
Phone (210) 838-2909
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 190 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 85 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S1238 | TX | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Dermatology and Laser Specialists PLLC | Dermatology | Current | Accepting new patients |
| Rose Dermatology | Dermatology | Current | Accepting new patients |
| Westlake Dermatology PA | Dermatology | Past | Accepting new patients |
Locations
10630 Braun Rd
Ste 106
San Antonio, TX 78254
Phone (210) 838-2909
3320 Oakwell Ct
San Antonio, TX 78218
10630 Braun Rd
Ste 105
San Antonio, TX 78254
Phone (210) 239-9647
Interoperability endpoints
- dr.ramirez@txdermandlaser.emadirect.md
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- mramirez51504@direct.utmsa.com
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.
-
- Dermatology Physician
- San Antonio, TX
- NPI 1508697442
-
- Dermatology Physician
- San Antonio, TX
- NPI 1053653949
-
- Dermatology Physician
- Austin, TX
- NPI 1518939347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735171200000",
"number": "1841686987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10630 BRAUN RD STE 105",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782542734",
"telephone_number": "210-838-2909",
"fax_number": "210-905-0121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10630 BRAUN RD STE 105",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782542734",
"telephone_number": "210-838-2909",
"fax_number": "210-905-0121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAMIREZ",
"first_name": "MARY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-14",
"last_updated": "2024-12-26",
"certification_date": "2024-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "TX",
"license": "S1238",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4531139-01",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "ROSE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; 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.