DR. CARLOS R RAMIREZ-RAMIREZ M.D.
NPI 1194793166
Internal Medicine - Infectious Disease in The Villages, FL

Active since March 08, 2006PECOS EnrolledAccepts Medicare Assignment
1580 SANTA BARBARA BLVD, THE VILLAGES, FL 32159(352) 259-2159(352) 259-5731 Get Directions Write a Review

NPPES record last updated: October 11, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 11, 2019, Sep 5, 2018, Jun 30, 2018 (3 updates tracked since 2018).

About Dr. Carlos R Ramirez-ramirez M.d. NPPES

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

DR. CARLOS R RAMIREZ-RAMIREZ M.D. (NPI 1194793166) is an individual infectious disease provider in The Villages, Florida, licensed in Florida (ME140622) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Orlando Health South Lake Hospital, and maintains a secondary practice location in San Juan.

NPPES Registry Identity

NPI1194793166
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameDR. CARLOS R RAMIREZ-RAMIREZCredential: M.D.
Location Address1580 SANTA BARBARA BLVDThe Villages, FL 32159
Mailing Address1580 Santa Barbara BlvdThe Villages, FL 32159-6827 · (352) 259-2159 · Fax (352) 259-5731
Fax(352) 259-5731
Sole ProprietorYes
Medical School CMSUniversity Central Del Caribe Escuela De MedicinaGraduated 1995
Enumeration DateMarch 8, 2006
Last NPPES UpdateOctober 11, 20193 updates tracked since enumeration
NPI 1194793166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
Licenses Licensed in FL · ME140622 Licensed in PR · 13107 Licensed in FL · ACN1019
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.
1580 SANTA BARBARA BLVD, The Villages, FL 32159

Secondary Practice Location 1

Location 11462 Prof. Augusto Rodriguez, Pavia Hospital SanturceSan Juan, PR 00910-1137 · Phone (787) 641-1616 ext. 3488 · Fax (787) 728-2641

Other Identifiers 3

OtherPA5NXFL · Bcbs
OtherKE271FL · Medicare
Medicaid100650200FL

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Carlos R Ramirez-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.

PECOS PAC ID9638260953
PECOS Enrollment IDI20180829003722
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.

Areas of Expertise CMS Part B claims 10

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
361 services141 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
93 services65 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
82 services82 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
60 services60 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
50 services50 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
38 services38 patients

Hospital Affiliations CMS Care Compare

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

Orlando Health South Lake Hospital

Acute Care Hospitals · Clermont, FL
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100051
Location1900 Don Wickham DrClermont, FL 34711 · Lake County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32159 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers19 claims58 services$5.99 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$168.35 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.

Family Medicine
1580 SANTA BARBARA BLVD
THE VILLAGES, FL 32159
Internal Medicine
1580 SANTA BARBARA BLVD
THE VILLAGES, FL 32159
Nurse Practitioner (Family)
1580 SANTA BARBARA BLVD
THE VILLAGES, FL 32159
Physician Assistant
1580 SANTA BARBARA BLVD
THE VILLAGES, FL 32159
Nurse Practitioner (Family)
1580 SANTA BARBARA BLVD
THE VILLAGES, FL 32159
Physician Assistant
1580 SANTA BARBARA BLVD
THE VILLAGES, FL 32159
Psychiatry & Neurology (Psychiatry)
1580 SANTA BARBARA BLVD
THE VILLAGES, FL 32159
Internal Medicine
1580 SANTA BARBARA BLVD, SUITE C
THE VILLAGES, FL 32159

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 Ramirez-ramirez's NPI number?

The NPI number for Carlos Ramirez-ramirez is 1194793166. It was assigned to this individual provider in the NPPES registry on March 8, 2006.

Where is Carlos Ramirez-ramirez located?

Carlos Ramirez-ramirez practices at 1580 Santa Barbara Blvd, The Villages, FL 32159. The listed phone number is (352) 259-2159.

What is Carlos Ramirez-ramirez's specialty?

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

Is Carlos Ramirez-ramirez enrolled in Medicare?

Yes. Carlos Ramirez-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.

What insurance does Carlos Ramirez-ramirez accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida list Carlos Ramirez-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 Carlos Ramirez-ramirez affiliated with any hospitals?

According to CMS data, Carlos Ramirez-ramirez is affiliated with Orlando Health South Lake Hospital.

When was this NPI record last updated?

The NPPES record for Carlos Ramirez-ramirez was last updated on October 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.