Active NPI
Ramon Antonio Pichardo, MD
- General Practice Physician
- Miami, FL
National Provider Identifier
1982639290
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Jul 20, 2010.
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ME90680
- Practice address
- 5240 West Flagler St
Doctors House Medical Center
Miami, FL 33134 - Phone
- (305) 569-0540
- Fax
- (305) 569-0541
- NPI assigned
- Jul 12, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | ME90680 | FL | Primary |
Addresses
Primary practice location
5240 West Flagler St
Doctors House Medical Center
Miami, FL 33134
Mailing address
15120 SW 10TH St
Miami, FL 33194
Phone (305) 553-4371
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME90680 | FL | MD | Legal Medicine |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pichardo Medical Services Inc | Past | Accepting new patients | |
| Advanced Theragroup of Miami, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Primary Care Clinic/Center
- Miami, FL
- NPI 1083810386
-
- Health Service Clinic/Center
- Doral, FL
- NPI 1962436659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982639290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15120 SW 10TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "33194",
"telephone_number": "305-553-4371",
"fax_number": "305-569-0541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5240 WEST FLAGLER ST",
"address_2": "DOCTORS HOUSE MEDICAL CENTER",
"city": "MIAMI",
"state": "FL",
"postal_code": "33134",
"telephone_number": "305-569-0540",
"fax_number": "305-569-0541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PICHARDO",
"first_name": "RAMON",
"middle_name": "ANTONIO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ME90680",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.