PAUL JONATHAN RAMIREZ M.D.
NPI 1114248986
Radiology - Diagnostic Radiology in Modesto, CA
About Paul Jonathan Ramirez M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PAUL JONATHAN RAMIREZ M.D. (NPI 1114248986) is an individual diagnostic radiology provider in Modesto, California, licensed in California (A115617) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Blessing Hospital, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2009).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted 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
Paul Jonathan Ramirez M.d. 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.
Medicare Billing Reassignments
32Medicare enrollment records show Paul Ramirez reassigns Medicare billing to 32 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Modesto, CA 95350
- Reassigned Medicare billing, California enrollment
- 102 clinicians in this Medicare group
Oroville, CA 95966
- Reassigned Medicare billing, California enrollment
- 62 clinicians in this Medicare group
Chico, CA 95926
- Reassigned Medicare billing, California enrollment
- 184 clinicians in this Medicare group
Los Angeles, CA 90012
- Reassigned Medicare billing, California enrollment
- 88 clinicians in this Medicare group
Bothell, WA 98021
- Reassigned Medicare billing, California enrollment
- 7 clinicians in this Medicare group
Duncan, OK 73533
- Reassigned Medicare billing, California enrollment
- 27 clinicians in this Medicare group
Dallas, TX 75235
- Reassigned Medicare billing, Texas and California enrollments
- Also billed through NPI 1033196464 (California)
- 187 clinicians in this Medicare group
Georgetown, TX 78626
- Reassigned Medicare billing, California enrollment
- 9 clinicians in this Medicare group
Shenandoah, TX 77380
- Reassigned Medicare billing, California and Texas enrollments
- Also billed through NPI 1487811766 (Texas)
- 89 clinicians in this Medicare group
Hannibal, MO 63401
- Reassigned Medicare billing, Missouri and Illinois enrollments
- Also billed through NPI 1114471737 (Illinois)
- 192 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 53
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Blessing Hospital
Acute Care Hospitals · Quincy, ILOwensboro Health Regional Hospital
Acute Care Hospitals · Owensboro, KYLake Charles Memorial Hospital
Acute Care Hospitals · Lake Charles, LAUphs Marquette Dlp Hospital
Acute Care Hospitals · Marquette, MISouthwest General Health Center
Acute Care Hospitals · Middleburg Heights, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95350 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MODESTO, CA 95350
MODESTO, CA 95350
MODESTO, CA 95350
MODESTO, CA 95350
MODESTO, CA 95350
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 Paul Ramirez's NPI number?
The NPI number for Paul Ramirez is 1114248986. It was assigned to this individual provider in the NPPES registry on June 16, 2010.
Where is Paul Ramirez located?
Paul Ramirez practices at 1524 Mchenry Ave Suite 430, Modesto, CA 95350. The listed phone number is (209) 577-4444.
What is Paul Ramirez's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Paul Ramirez enrolled in Medicare?
Yes. Paul 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 Paul Ramirez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Paul Ramirez reassigns Medicare benefits to 32 organizations: Modesto Radiological Medical Group, Inc. (Modesto, CA), Oroville Hospital (Oroville, CA), Enloe Medical Center (Chico, CA), Focus Medical Imaging (Los Angeles, CA), Direct Radiology PLLC (Bothell, WA) and 27 more organizations, listed in the Medicare section above. 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 Paul Ramirez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Paul Ramirez accept?
Health plans from Baylor Scott and White Health Plan, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Texas and CareSource and 6 other insurers list Paul 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 Paul Ramirez affiliated with any hospitals?
According to CMS data, Paul Ramirez is affiliated with Blessing Hospital, Owensboro Health Regional Hospital, Lake Charles Memorial Hospital, Uphs Marquette Dlp Hospital and Southwest General Health Center.
When was this NPI record last updated?
The NPPES record for Paul Ramirez was last updated on April 15, 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.
# Paul Jonathan Ramirez, M.D. · NPI 1114248986
Diagnostic Radiology physician in Modesto, California. Individual provider, active in the CMS NPPES registry since June 16, 2010.
## Identity
- **NPI:** 1114248986 (Entity type: Individual)
- **Enumerated:** June 16, 2010
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** A115617 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1524 MCHENRY AVE, SUITE 430, Modesto, CA 95350-4500
- **Phone:** (209) 577-4444 · **Fax:** (209) 846-7309
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 32 organizations under Medicare reassignment (form CMS-855R): Modesto Radiological Medical Group, Inc. (NPI 1992747547, Modesto, CA); Oroville Hospital (NPI 1154790905, Oroville, CA); Enloe Medical Center (NPI 1477975613, Chico, CA); Focus Medical Imaging (NPI 1700226933, Los Angeles, CA); Direct Radiology PLLC (NPI 1144572173, Bothell, WA); and 27 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Illinois College Of Med, class of 2009
## Record status
- **NPPES last updated:** April 15, 2024
- **Other identifiers:** Medicaid 1114248986 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1114248986) · Data from the CMS NPPES public registry.