DR. RICARDO RAFAEL JIMENEZ M.D.
NPI 1184709180
Pediatrics - Pediatric Emergency Medicine in Atlanta, GA

Active since October 26, 2006PECOS Enrolled
1001 JOHNSON FY RD NE, ATLANTA, GA 30342(404) 785-2285 Get Directions Write a Review

NPPES record last updated: September 2, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 2, 2026, Sep 15, 2016 (2 updates tracked since 2016).

About Dr. Ricardo Rafael Jimenez M.d. NPPES

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

DR. RICARDO RAFAEL JIMENEZ M.D. (NPI 1184709180) is an individual pediatric emergency medicine provider in Atlanta, Georgia, licensed in Missouri (2026039595) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1184709180
Entity TypeIndividualMale
Primary Taxonomy2080P0204X
Provider Legal NameDR. RICARDO RAFAEL JIMENEZCredential: M.D.
Location Address1001 JOHNSON FY RD NEAtlanta, GA 30342-1605
Mailing Address1001 Johnson Fy Rd NeAtlanta, GA 30342-1605 · (404) 785-2285
Sole ProprietorYes
Enumeration DateOctober 26, 2006
Last NPPES UpdateSeptember 2, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2026
✔ NPI 1184709180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in MO · 2026039595
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedPediatricsTaxonomy 208000000X · License 054901 (GA)
1001 JOHNSON FY RD NE, Atlanta, GA 30342

Secondary Practice Location 1

Location 11201 S Grand BlvdSaint Louis, MO 63104-1016 · Phone (314) 617-2000

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ricardo Rafael Jimenez M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

3

Medicare enrollment records show Ricardo Jimenez reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
1000 MEDICAL CENTER BLVD
Lawrenceville, GA 30046
  • Reassigned Medicare billing, Georgia enrollment
  • 138 clinicians in this Medicare group
Family Medicine
435 2ND ST
Newport, TN 37821
  • Reassigned Medicare billing, Georgia enrollment
  • 330 clinicians in this Medicare group
Emergency Medicine
1 MEMORIAL DR
Alton, IL 62002
  • Reassigned Medicare billing, Tennessee enrollment
  • 29 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.

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.

Nurse Practitioner (Pediatrics, Critical Care)
1001 JOHNSON FY RD NE
ATLANTA, GA 30342
Anesthesiologist Assistant
1001 JOHNSON FY RD NE
ATLANTA, GA 30342
Health Educator
1001 JOHNSON FY RD NE
SANDY SPRINGS, GA 30342
Anesthesiologist Assistant
1001 JOHNSON FY RD NE
ATLANTA, GA 30342
Registered Nurse
1001 JOHNSON FY RD NE
ATLANTA, GA 30342
Pathology (Anatomic Pathology & Clinical Pathology)
1001 JOHNSON FY RD NE
ATLANTA, GA 30342
Anesthesiologist Assistant
1001 JOHNSON FY RD NE
ATLANTA, GA 30342
Anesthesiologist Assistant
1001 JOHNSON FY RD NE
ATLANTA, GA 30342

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 Ricardo Jimenez's NPI number?

The NPI number for Ricardo Jimenez is 1184709180. It was assigned to this individual provider in the NPPES registry on October 26, 2006.

Where is Ricardo Jimenez located?

Ricardo Jimenez practices at 1001 Johnson Fy Rd NE, Atlanta, GA 30342. The listed phone number is (404) 785-2285.

What is Ricardo Jimenez's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Ricardo Jimenez enrolled in Medicare?

Yes. Ricardo Jimenez is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ricardo Jimenez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ricardo Jimenez reassigns Medicare benefits to 3 organizations: Gwinnett Emergency Specialists, LLC (Lawrenceville, GA), Emergency Coverage, LLC (Newport, TN) and Southeastern Emergency Physicians Of Memphis LLC (Alton, 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 Ricardo Jimenez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ricardo Jimenez accept?

Health plans from Oscar Health and Oscar Insurance Company list Ricardo Jimenez 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 Ricardo Jimenez was last updated on September 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.