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DR. CARLOS TEODORO RAMOS JR. M.D.
NPI 1154769701
Internal Medicine in Harlingen, TX

Active since June 05, 2013PECOS EnrolledAccepts Medicare Assignment
2101 PEASE ST, SUITE 1G, HARLINGEN, TX 78550(956) 389-6565(956) 389-6567 Get Directions Write a Review

NPPES record last updated: November 15, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 15, 2024, Mar 8, 2019, Apr 12, 2017 and 1 more (4 updates tracked since 2016).

About Dr. Carlos Teodoro Ramos Jr. M.d. NPPES

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

DR. CARLOS TEODORO RAMOS JR. M.D. (NPI 1154769701) is an individual internal medicine provider in Harlingen, Texas, licensed in Texas (Q9485) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Vhs Harlingen Hospital Company Llc, and is a graduate of University Of Texas Medical Branch At Galveston (2013).

NPPES Registry Identity

NPI1154769701
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. CARLOS TEODORO RAMOS JR.Credential: M.D.
Location Address2101 PEASE ST, SUITE 1GHarlingen, TX 78550-8307
Mailing AddressPo Box 531968Harlingen, TX 78553-1968 · (883) 887-4863
Phone(956) 389-6565
Fax(956) 389-6567
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2013
Enumeration DateJune 5, 2013
Last NPPES UpdateNovember 15, 20244 updates tracked since enumeration
NPPES CertifiedNovember 15, 2024
✔ NPI 1154769701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · Q9485
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2101 PEASE ST, Harlingen, TX 78550
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Other Identifiers 1

Medicaid361674001TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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. Carlos Teodoro Ramos Jr. 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 ID2062708027
PECOS Enrollment IDI20160831001638
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

4

Medicare enrollment records show Carlos Ramos reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Su Clinica Familiar
0.3 mi
Federally Qualified Health Center (FQHC)
1706 TREASURE HILLS BLVD
Harlingen, TX 78550
  • Reassigned Medicare billing, Texas enrollment
  • 47 clinicians in this Medicare group
NPI 1285643304 (956) 365-6750
The University Of Texas Rio Grande Valley
0.3 mi
Internal Medicine
2102 TREASURE HILLS BLVD, 314406
Harlingen, TX 78550
  • Reassigned Medicare billing, Texas enrollment
  • 96 clinicians in this Medicare group
NPI 1477960730 (956) 296-1437
Health And Human Services Commission
2.5 mi
Clinical Neuropsychologist
1401 S RANGERVILLE RD
Harlingen, TX 78552
  • Reassigned Medicare billing, Texas enrollment
  • 452 clinicians in this Medicare group
NPI 1356414692 (956) 364-8000
Bhs Physicians Network, Inc
243 mi
Family Medicine
502 MADISON OAK DR STE 310
San Antonio, TX 78258
  • Reassigned Medicare billing, Texas enrollment
  • 964 clinicians in this Medicare group
NPI 1598958431 (210) 483-8883

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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
99 services37 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
39 services12 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
20 services19 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Vhs Harlingen Hospital Company LLC

Acute Care Hospitals · Harlingen, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450033
Location2101 Pease StHarlingen, TX 78550 · Cameron County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78550 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers19 claims19 services$17.08 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers19 claims19 services$89.53 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

HELEN DELORES PADGETT CRNA
Nurse Anesthetist, Certified Registered
2101 PEASE ST
HARLINGEN, TX 78550
Cameron County (956) 389-1100
YAHYA DANESHBOD MD
Pathology (Anatomic Pathology & Clinical Pathology)
2101 PEASE ST
HARLINGEN, TX 78550
Cameron County (956) 389-6565
MRS. MARY PETERS-BENITEZ O.T.
Occupational Therapist
2101 PEASE ST
HARLINGEN, TX 78550
Cameron County (956) 389-1690
JANETLY LUCIA REINOSO JIMENEZ
Student in an Organized Health Care Education/Training Program
2101 PEASE ST
HARLINGEN, TX 78550
Cameron County (956) 454-0568
SABINO VEGA JR. MSN, NP
Nurse Practitioner (Family)
2101 PEASE ST
HARLINGEN, TX 78550
Cameron County (956) 389-5000
DR. JESUS GUZMAN JR. DO
Hospitalist
2101 PEASE ST
HARLINGEN, TX 78550
Cameron County (956) 389-1100
ROBIN MELINDA WOODARD CRNA
Nurse Anesthetist, Certified Registered
2101 PEASE ST
HARLINGEN, TX 78550
Cameron County (956) 389-1100
CARLOS LUIS ALEJOS AGUERO MD
Internal Medicine
2101 PEASE ST
HARLINGEN, TX 78550
Cameron County (956) 389-6565

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 Carlos Ramos's NPI number?

The NPI number for Carlos Ramos is 1154769701. It was assigned to this individual provider in the NPPES registry on June 5, 2013.

Where is Carlos Ramos located?

Carlos Ramos practices at 2101 Pease St Suite 1G, Harlingen, TX 78550. The listed phone number is (956) 389-6565.

What is Carlos Ramos's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Carlos Ramos enrolled in Medicare?

Yes. Carlos Ramos 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 Carlos Ramos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carlos Ramos reassigns Medicare benefits to 4 organizations: Su Clinica Familiar (Harlingen, TX), The University Of Texas Rio Grande Valley (Harlingen, TX), Health And Human Services Commission (Harlingen, TX) and Bhs Physicians Network, Inc (San Antonio, TX). 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 Carlos Ramos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carlos Ramos accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Carlos Ramos 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 Carlos Ramos affiliated with any hospitals?

According to CMS data, Carlos Ramos is affiliated with Vhs Harlingen Hospital Company LLC.

When was this NPI record last updated?

The NPPES record for Carlos Ramos was last updated on November 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.