Individual provider Active NPI

Ramon E Urrea, M.D.

  • Internal Medicine Physician
  • South Haven, MI
National Provider Identifier
1952331613
Registry record updated Apr 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301063714 Issued in MI
Practice address
965 S Bailey Ave
Suite 1-4
South Haven, MI 49090-9701
Phone
(269) 639-2777
Fax
(269) 639-2776
NPI assigned
Jul 5, 2006
Last updated
Apr 17, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301063714 MI Primary
Hospitalist Physician 208M00000X 4301063714 MI

Addresses

Primary practice location

965 S Bailey Ave
Suite 1-4
South Haven, MI 49090-9701

Mailing address

955 S Bailey Ave
South Haven, MI 49090-9701
Phone (269) 639-2777

Other identifiers 2

IdentifierTypeStateIssuer
38-1676780OtherMIEIM
4135897T10MedicaidMI

Other names 1

  • Dr. Ramon E Urrea Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20061212000311 MI Practitioner - Internal Medicine 4082613435 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301063714MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Michigan, PLLC Internal Medicine CurrentSince Jul 2, 2019 Accepting new patients
Hospitalist Medicine Physicians of Michigan PLLC Internal Medicine CurrentSince Jul 2, 2019 Accepting new patients
Sound Inpatient Physicians-Michigan, PLLC Internal Medicine Current Accepting new patients
Bronson South Haven Hospital Internal Medicine CurrentSince Sep 20, 1999 Accepting new patients
Michigan Emergency Physicians, LLP Current Accepting new patients
Bronson South Haven Hospital CurrentSince Sep 20, 1999 Accepting new patients
Sound Inpatient Physicians - Michigan, PLLC Internal Medicine CurrentSince May 29, 2019 Accepting new patients
Michigan Emergency Physicians LLP CurrentSince Oct 1, 2010 Accepting new patients
Hospice at Home, Inc. Past Accepting new patients
Hospice at Home, Inc. PastSince Oct 12, 2009 Accepting new patients

Locations

168 S Howell St
Hillsdale, MI 49242
Phone (517) 437-4451

1721 S Stephenson Ave
Iron Mountain, MI 49801
Phone (906) 776-5415

1 Atkinson Dr
Ludington, MI 49431
Phone (231) 843-2591

1465 E Parkdale Ave
Manistee, MI 49660
Phone (231) 398-1000

580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131

950 S Bailey Ave
South Haven, MI 49090
Phone (269) 639-2796

955 S Bailey Ave
South Haven, MI 49090
Phone (269) 637-5271

701 S Health Parkway
Three Rivers, MI 49093
Phone (269) 273-9691

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Gentiva IIPortage, MI, CCN 231591 Hospice Contracted Managing Employee May 6, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397692800000",
    "number": "1952331613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 S BAILEY AVE",
            "city": "SOUTH HAVEN",
            "state": "MI",
            "postal_code": "490909701",
            "telephone_number": "269-639-2777",
            "fax_number": "269-639-2776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 S BAILEY AVE",
            "address_2": "SUITE 1-4",
            "city": "SOUTH HAVEN",
            "state": "MI",
            "postal_code": "490909701",
            "telephone_number": "269-639-2777",
            "fax_number": "269-639-2776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URREA",
        "first_name": "RAMON",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2014-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301063714",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MI",
            "license": "4301063714",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EIM",
            "identifier": "38-1676780",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4135897T10",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAMON",
            "last_name": "URREA",
            "middle_name": "E",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in South Haven, MI

Sources for this page

Verify at the official NPI Registry.