Individual provider Active NPI

Hossein Ramezani, M.D.

  • Cardiovascular Disease Physician
  • Orange Park, FL
National Provider Identifier
1962464685
Registry record updated Apr 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME46469 Issued in FL
Practice address
1518 Kingsley Ave
Orange Park, FL 32073-4511
Phone
(904) 269-1664
Fax
(904) 264-4085
NPI assigned
Apr 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME46469 FL Primary

Addresses

Primary practice location

1518 Kingsley Ave
Orange Park, FL 32073-4511

Mailing address

PO Box 365
Orange Park, FL 32067-0365
Phone (904) 269-1664

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20110629000462 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0143408856 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1518 Kingsley Ave
Orange Park, FL 32073-4511
Phone (904) 269-1664

6820 Southpoint Pkwy
Suite 6
Jacksonville, FL 32216-6276

PO Box
Orange Park, FL 32067

Hospital & facility affiliations

  • HCA Florida Orange Park Hospital Hospital, Orange Park, FL, CCN 100226
  • HCA Florida Memorial Hospital Hospital, Jacksonville, FL, CCN 100179

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10
Varicose vein removal1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Heart Center PA Cardiovascular Disease CurrentSince Apr 1, 2011 Accepting new patients
Susan Salehi MD PA PastSince Apr 1, 2011 Accepting new patients
Memorial Ekg Associates Past Accepting new patients

Locations

1518 Kingsley Ave
Orange Park, FL 32073
Phone (904) 269-1661

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.

Hospital & facility affiliations 2

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": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461283200000",
    "number": "1962464685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 365",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320670365",
            "telephone_number": "904-269-1664",
            "fax_number": "904-264-4085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1518 KINGSLEY AVE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734511",
            "telephone_number": "904-269-1664",
            "fax_number": "904-264-4085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMEZANI",
        "first_name": "HOSSEIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2016-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME46469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

Verify at the official NPI Registry.