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DR. DAVID ALAN RAMIREZ JR. MD
NPI 1003308297
Ophthalmology - Pediatric Ophthalmology and Strabismus Specialist in Chicago, IL

Active since June 04, 2018PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
225 E CHICAGO AVE # 70, CHICAGO, IL 60611(312) 227-6180(312) 227-9411 Get Directions Write a Review

NPPES record last updated: August 9, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 9, 2024, Jul 10, 2019, Jun 26, 2018 (3 updates tracked since 2018).

About Dr. David Alan Ramirez Jr. Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DAVID ALAN RAMIREZ JR. MD (NPI 1003308297) is an individual pediatric ophthalmology and strabismus specialist in Chicago, Illinois, licensed in Illinois (036.165616) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Northwestern Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1003308297
Entity TypeIndividualMale
Primary Taxonomy207WX0110X
Provider Legal NameDR. DAVID ALAN RAMIREZ JR.Credential: MD
Location Address225 E CHICAGO AVE # 70Chicago, IL 60611-2991
Mailing Address225 E Chicago Ave # 70Chicago, IL 60611-2991 · (312) 227-6180 · Fax (312) 227-9411
Phone(312) 227-6180
Fax(312) 227-9411
Sole ProprietorNo
Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 2018
Enumeration DateJune 4, 2018
Last NPPES UpdateAugust 9, 20243 updates tracked since enumeration
NPPES CertifiedAugust 9, 2024
✔ NPI 1003308297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Pediatric Ophthalmology and Strabismus SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0110X
License✔ Licensed in IL · 036.165616
Definition
An ophthalmologist who specializes in pediatric ophthalmology and strabismus management. The subspecialty includes the medical and surgical management of eye disorders found in children. Some of the more common disorders include amblyopia, strabismus, refractive error, cataract and glaucoma. These disorders may be related to neurological and endocrinological diseases, trauma, or aging changes in the extraocular muscles requiring medical, optical and surgical management.
Also ListedOphthalmologyTaxonomy 207W00000X · License MD477131 (PA), R11376 (IA)
225 E CHICAGO AVE # 70, Chicago, IL 60611
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Secondary Practice Locations 2

Location 1259 E Erie St Ste 1520Chicago, IL 60611-3111 · Phone (312) 227-6180
Location 21276 N Clybourn AveChicago, IL 60610-2003 · Phone (312) 337-1073

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. David Alan Ramirez Jr. Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173872611
PECOS Enrollment IDI20231130000232
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show David Ramirez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Near North Health Service Corporation
0.1 mi
Federally Qualified Health Center (FQHC)
150 E HURON ST STE 1101
Chicago, IL 60611
  • Reassigned Medicare billing, Illinois enrollment
  • 45 clinicians in this Medicare group
NPI 1437312360 (312) 741-8554
Northwestern Medical Faculty Foundation
34 mi
Multi-Specialty
DEPT 5777
Carol Stream, IL 60122
  • Reassigned Medicare billing, Illinois enrollment
  • 4,817 clinicians in this Medicare group
NPI 1346235314 (855) 694-2866

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northwestern Memorial Hospital

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140281
Location251 E Huron StChicago, IL 60611 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.59
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SUDHI P KURUP MD
Ophthalmology
225 E CHICAGO AVE # 70, ANN & ROBERT H. LURIES CHILDREN'S HOSPITAL OF CHICAGO
CHICAGO, IL 60611
Cook County (312) 227-6180
DR. JENNIFER LANDAU ROSSEN M.D.
Ophthalmology (Pediatric Ophthalmology and Strabismus Specialist)
225 E CHICAGO AVE # 70
CHICAGO, IL 60611
Cook County (312) 227-6180

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Ramirez's NPI number?

The NPI number for David Ramirez is 1003308297. It was assigned to this individual provider in the NPPES registry on June 4, 2018.

Where is David Ramirez located?

David Ramirez practices at 225 E Chicago Ave # 70, Chicago, IL 60611. The listed phone number is (312) 227-6180.

What is David Ramirez's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Pediatric Ophthalmology and Strabismus Specialist, with taxonomy code 207WX0110X.

Is David Ramirez enrolled in Medicare?

Yes. David Ramirez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for David Ramirez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Ramirez reassigns Medicare benefits to 2 organizations: Near North Health Service Corporation (Chicago, IL) and Northwestern Medical Faculty Foundation (Carol Stream, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for David Ramirez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Ramirez accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list David Ramirez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is David Ramirez affiliated with any hospitals?

According to CMS data, David Ramirez is affiliated with Northwestern Memorial Hospital.

When was this NPI record last updated?

The NPPES record for David Ramirez was last updated on August 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.