Active NPI
Carlos Javier Ramirez-Icaza, MD
- Pulmonary Disease Physician
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 38093
- Practice address
- 1225 S Broadway Ste 201
Lexington, KY 40504-2701 - Phone
- (859) 258-4568
- Fax
- (859) 258-4698
- NPI assigned
- Oct 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 38093 | KY | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 38093 | KY | |
| Pulmonary Disease Physician | 207RP1001X | 38093 | KY | Primary |
Addresses
Primary practice location
1225 S Broadway Ste 201
Lexington, KY 40504-2701
Mailing address
1221 S Broadway
Lexington, KY 40504-2701
Phone (859) 258-6200
Other practice location 1
3430 Newburg Rd
Suite 150
Louisville, KY 40218-2497
Phone (502) 459-9127
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200245580 | Medicaid | IN |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cramirez15849@direct.nortonhealthcare.org | ||
| FHIR URL | https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- 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
- Pulmonary Disease
- Education
- Indiana University School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1207 S Broadway
Lexington, KY 40504-2701
Phone (859) 258-4000
1221 S Broadway
Lexington, KY 40504-2701
Phone (859) 258-4000
1225 S Broadway
Suite 201
Lexington, KY 40504-2701
Phone (859) 258-4568
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Lexington Clinic, PSC | Internal Medicine | Current | Accepting new patients |
| Community Medical Associates, Inc. | Current | Accepting new patients | |
| Community Medical Associates, Inc. | Internal Medicine | Current | Accepting new patients |
| New Lexington Clinic PSC | Current | Accepting new patients | |
| Community Medical Associates, Inc. | Current | Accepting new patients | |
| University Medical Diagnostic Associates, Inc. | Internal Medicine | Past | Accepting new patients |
Locations
1225 S Broadway
Ste 201
Lexington, KY 40504
Phone (859) 258-4568
1221 S Broadway
Lexington, KY 40504
Phone (859) 258-4181
4950 Norton Healthcare Blvd
Ste 210
Louisville, KY 40241
Phone (502) 314-4179
4606 Greenwood Rd
Louisville, KY 40258
Phone (502) 937-2209
4950 Norton Healthcare Blvd
Ste 208
Louisville, KY 40241
Phone (502) 559-5864
825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165
170 Dr Arla Way
Ste 101
Louisville, KY 40229
Phone (502) 888-1988
3430 Newburg Rd
Ste 150
Louisville, KY 40218
Phone (502) 459-9127
Interoperability endpoints
- carlos.ramirez-icaza.1@13059.direct.athenahealth.com
Organizations & group practices 6
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.
-
dba Lexington Clinic
- Multi-Specialty Clinic/Center
- Lexington, KY
- NPI 1700803681
Internal Medicine
-
- Multi-Specialty Clinic/Center
- Louisville, KY
- NPI 1306983762
-
- Nurse Practitioner
- Louisville, KY
- NPI 1871951889
-
dba Norton Community Medical Associates
- Internal Medicine Physician
- Louisville, KY
- NPI 1881192409
-
- Clinical Medical Laboratory
- Lexington, KY
- NPI 1285409425
-
- Internal Medicine Physician
- Indianapolis, IN
- NPI 1861441537
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Kentucky Laboratory System
- Clinical Medical Laboratory
- Lexington, KY
- NPI 1215227012
Hospital
-
dba CHI Saint Joseph Hospital
- General Acute Care Hospital
- Lexington, KY
- NPI 1437150984
-
dba CHI Saint Joseph Jessamine
- Clinic/Center
- Nicholasville, KY
- NPI 1861650814
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690329600000",
"number": "1952494825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 S BROADWAY",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405042701",
"telephone_number": "859-258-6200",
"fax_number": "859-258-6203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 S BROADWAY STE 201",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405042701",
"telephone_number": "859-258-4568",
"fax_number": "859-258-4698"
}
],
"practiceLocations": [
{
"address_1": "3430 Newburg Rd",
"address_2": "Suite 150",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402182497",
"country_code": "US",
"telephone_number": "502-459-9127",
"fax_number": "502-459-2156",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAMIREZ-ICAZA",
"first_name": "CARLOS",
"middle_name": "JAVIER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2023-07-26",
"certification_date": "2023-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KY",
"license": "38093",
"primary": false
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "KY",
"license": "38093",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "KY",
"license": "38093",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200245580",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cramirez15849@direct.nortonhealthcare.org",
"affiliation": "N",
"address_1": "3430 Newburg Rd",
"address_2": "Suite 150",
"city": "Louisville",
"state": "KY",
"country_code": "US",
"postal_code": "402182497",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "3430 Newburg Rd",
"address_2": "Suite 150",
"city": "Louisville",
"state": "KY",
"country_code": "US",
"postal_code": "402182497",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; 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.