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DR. RAMON ARTURO GADEA M.D.
NPI 1144557216
Internal Medicine - Infectious Disease in Philadelphia, PA

Active since November 11, 2009PECOS EnrolledAccepts Medicare Assignment
4510 FRANKFORD AVE, PHILADELPHIA, PA 19124(215) 744-1302(215) 744-2544 Get Directions Write a Review

NPPES record last updated: August 27, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Ramon Arturo Gadea M.d. NPPES

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

DR. RAMON ARTURO GADEA M.D. (NPI 1144557216) is an individual infectious disease provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD054017L) and active in the NPI registry since November 2009. He is enrolled in Medicare PECOS and is a graduate of Ponce School Of Medicine (1989).

NPPES Registry Identity

NPI1144557216
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameDR. RAMON ARTURO GADEACredential: M.D.
Location Address4510 FRANKFORD AVEPhiladelphia, PA 19124-3602
Mailing Address432 N 6th StPhiladelphia, PA 19123-4004 · (215) 925-2400 · Fax (215) 925-2162
Phone(215) 744-1302
Fax(215) 744-2544
Sole ProprietorNo
Medical School CMSPonce School Of MedicineGraduated 1989
Enumeration DateNovember 11, 2009
Last NPPES UpdateAugust 27, 2015
✔ NPI 1144557216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in PA · MD054017L
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
4510 FRANKFORD AVE, Philadelphia, PA 19124
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, 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. Ramon Arturo Gadea 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.

PECOS PAC ID9931413457
PECOS Enrollment IDI20150728005645
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 Reassignment

Medicare enrollment records show Ramon Gadea reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Greater Philadelphia Health Action Inc.
Same address
Federally Qualified Health Center (FQHC)
4510 FRANKFORD AVE
Philadelphia, PA 19124
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 232 clinicians in this Medicare group
NPI 1659325652 (215) 744-1302

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19124 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

BRESHAY WOODS
Family Medicine
4510 FRANKFORD AVE
PHILADELPHIA, PA 19124
Philadelphia County (443) 453-4795
RICHARDSON PAYE PSY.D
Counselor (Professional)
4510 FRANKFORD AVE, 2ND FLOOR
PHILADELPHIA, PA 19124
Philadelphia County (215) 831-9882
XIAOWEN TANG
Counselor (Professional)
4510 FRANKFORD AVE, 2ND FLOOR
PHILADELPHIA, PA 19124
Philadelphia County (215) 831-9882
MS. FLORA HENRIETTA BAKER RD
Dietitian, Registered
4510 FRANKFORD AVE
PHILADELPHIA, PA 19124
Philadelphia County (215) 370-4548
MARGARITA MIRANDA
Counselor (Mental Health)
4510 FRANKFORD AVE
PHILADELPHIA, PA 19124
Philadelphia County (215) 744-1302
DANIEL GAYOU
Case Manager/Care Coordinator
4510 FRANKFORD AVE
PHILADELPHIA, PA 19124
Philadelphia County (215) 831-9882
JAYNE HENDERSON BROWN M.D.
Internal Medicine
4510 FRANKFORD AVE
PHILADELPHIA, PA 19124
Philadelphia County (215) 744-1302
HYSONJA FERSNER
Counselor (Professional)
4510 FRANKFORD AVE, 2ND FLOOR
PHILADELPHIA, PA 19124
Philadelphia County (215) 744-1302

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 Ramon Gadea's NPI number?

The NPI number for Ramon Gadea is 1144557216. It was assigned to this individual provider in the NPPES registry on November 11, 2009.

Where is Ramon Gadea located?

Ramon Gadea practices at 4510 Frankford Ave, Philadelphia, PA 19124. The listed phone number is (215) 744-1302.

What is Ramon Gadea's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Ramon Gadea enrolled in Medicare?

Yes. Ramon Gadea 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 organization bills Medicare for Ramon Gadea's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ramon Gadea reassigns Medicare benefits to Greater Philadelphia Health Action Inc. (Philadelphia, PA). The 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 Ramon Gadea's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ramon Gadea accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Ramon Gadea 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.

When was this NPI record last updated?

The NPPES record for Ramon Gadea was last updated on August 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.