Individual provider Active NPI

Carlos Javier Ramirez-Icaza, MD

  • Pulmonary Disease Physician
  • Lexington, KY
National Provider Identifier
1952494825
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
38093 Issued in KY
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

Updated by the provider on Jul 26, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200245580MedicaidIN

Electronic endpoints 2

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031217000263 KY Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists)Practitioner - Sleep Medicine 6002713104 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Sleep Medicine
Education
Indiana University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Lexington Clinic PSCGroup PAC ID 3476457532, 329 clinicians

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

OrganizationSpecialtyStatusNew patients
New Lexington Clinic, PSC Internal Medicine CurrentSince Aug 1, 2023 Accepting new patients
Community Medical Associates, Inc. CurrentSince Oct 1, 2018 Accepting new patients
Community Medical Associates, Inc. Internal Medicine CurrentSince Oct 1, 2018 Accepting new patients
New Lexington Clinic PSC CurrentSince Aug 1, 2023 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.