Individual provider Active NPI

Carmen T Ramos Irizarry

  • Pediatric Surgery Physician
  • Chicago, IL
National Provider Identifier
1922081363
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
License
036174183 Issued in IL
Practice address
5841 S Maryland Ave
Chicago, IL 60637-1443
Phone
(888) 824-0200
NPI assigned
Nov 21, 2005
Last updated
Aug 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Surgery Physician 2086S0120X ME108119 FL
Pediatric Surgery Physician 2086S0120X 036174183 IL Primary

Addresses

Primary practice location

5841 S Maryland Ave
Chicago, IL 60637-1443

Mailing address

150 Harvester Dr Ste 300
Burr Ridge, IL 60527-5965

Other practice location 1

2600 Immokalee Rd
Naples, FL 34110-1424
Phone (239) 213-0690

Other identifiers 1

IdentifierTypeStateIssuer
004433100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MO, IL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20160420001693 FL Practitioner - General SurgeryPractitioner - Pediatric Medicine 1658346531 Reassigns benefits to 1 organization
I20250507003087 MO Practitioner - General Surgery 1658346531 Reassigns benefits to 2 organizations
I20250616003157 IL Practitioner - General SurgeryPractitioner - Pediatric Medicine 1658346531 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036174183ILMDPediatric Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Chicago Medical Center CurrentSince Jul 21, 2025 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince May 23, 2025 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince May 23, 2025 Accepting new patients
The University of Chicago Medical Center CurrentSince Jul 21, 2025 Accepting new patients
Kidz Medical Services, Inc Pediatric Surgery CurrentSince Apr 1, 2017 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince May 1, 2025 Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Kidz Medical Services, Inc CurrentSince Apr 1, 2017 Accepting new patients
Advocate Health & Hospitals Corp. CurrentSince May 1, 2025 Accepting new patients
University of Chicago CurrentSince Jul 21, 2025 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince May 23, 2025 Accepting new patients
Montefiore Medical Center Past Accepting new patients
Mercy Hospital Springfield Past Accepting new patients

Locations

9980 Central Park Blvd N
Ste 318
Boca Raton, FL 33428
Phone (561) 451-0500

5955 Ponce de Leon Blvd
Coral Gables, FL 33146
Phone (305) 662-8668

975 Baptist Way
Ste 203
Homestead, FL 33033
Phone (305) 242-8200

3200 SW 60th Ct
Ste 203
Miami, FL 33155
Phone (305) 662-8380

2600 Immokalee Rd
Naples, FL 34110
Phone (239) 213-0690

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061

29373 Network Pl
Chicago, IL 60673

350 N Wall St
Kankakee, IL 60901
Phone (815) 935-7500

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

1965 S Fremont Ave
Ste 300
Springfield, MO 65804
Phone (417) 820-2936

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

Interoperability endpoints

  • Direct secure messaging: carmen.ramos@hca4.eclinicaldirectplus.com
  • Direct secure messaging: carmenramosirizarry@kms.allscriptsdirect.net
  • Direct secure messaging: cramosirizarry431618@direct.myadvocateaurora.org

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1922081363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 HARVESTER DR STE 300",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605275965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5841 S MARYLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606371443",
            "telephone_number": "888-824-0200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 Immokalee Rd",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341101424",
            "country_code": "US",
            "telephone_number": "239-213-0690",
            "fax_number": "305-552-4060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAMOS IRIZARRY",
        "first_name": "CARMEN",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-21",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "FL",
            "license": "ME108119",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "IL",
            "license": "036174183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004433100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.