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DR. ALBERTO RAFAEL RAMOS MD
NPI 1215149265
Psychiatry & Neurology - Sleep Medicine in Miami, FL

Active since May 03, 2007PECOS EnrolledAccepts Medicare Assignment
81.31/100
CMS Quality Rating
1611 NW 12TH AVE, MIAMI, FL 33136(305) 243-3902 Get Directions Write a Review

NPPES record last updated: October 2, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 24, 2025, Jun 4, 2024, Nov 9, 2022 (3 updates tracked since 2022).

About Dr. Alberto Rafael Ramos Md NPPES

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

DR. ALBERTO RAFAEL RAMOS MD (NPI 1215149265) is an individual sleep medicine provider in Miami, Florida, licensed in Florida (ME97622) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with University Of Md Capital Region Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1215149265
Entity TypeIndividualMale
Primary Taxonomy2084S0012X
Provider Legal NameDR. ALBERTO RAFAEL RAMOSCredential: MD
Location Address1611 NW 12TH AVEMiami, FL 33136-1005
Mailing Address1150 Nw 14th StMiami, FL 33136-2137 · (305) 243-3100 · Fax (305) 243-4678
Phone(305) 243-3902
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateMay 3, 2007
Last NPPES UpdateOctober 2, 20253 updates tracked since enumeration
NPPES CertifiedOctober 2, 2025
✔ NPI 1215149265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Sleep MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2084S0012X
License✔ Licensed in FL · ME97622
Definition
A Psychiatrist or Neurologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
1611 NW 12TH AVE, Miami, FL 33136
Open in Google Maps ↗

Secondary Practice Locations 3

Location 16425 Living Pl Fl 2Pittsburgh, PA 15206-5122 · Phone (412) 406-7692
Location 2206 S Coronado AveEspanola, NM 87532-2792 · Phone (412) 406-7692
Location 310900 NE 4th St Ste 2300Bellevue, WA 98004-5882 · Phone (412) 406-7692

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next 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. Alberto Rafael Ramos Md 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 ID5799859823
PECOS Enrollment IDI20080807000076, I20151221000039, I20160118000531, I20221019000996, I20221028000841, I20221123000588, I20221201002665, I20221229001208
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

2

Medicare enrollment records show Alberto Ramos reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Miami
Same address
Medical Oncology
1611 NW 12TH AVE, BOX 016960 M851
Miami, FL 33136
  • Reassigned Medicare billing, Florida enrollment
  • 3,639 clinicians in this Medicare group
NPI 1922058544 (305) 243-7688
Surgical Neuromonitoring,pllc
2,726 mi
Electrodiagnostic Medicine
10900 NE 4TH ST STE 2300
Bellevue, WA 98004
  • Reassigned Medicare billing, Florida, Maryland, Oregon, Pennsylvania, South Carolina, Virginia, Washington and West Virginia enrollments
  • 4 clinicians in this Medicare group
NPI 1124338025 (412) 406-7692

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 9

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.

Placement of skin electrodes and measurement of stimulated sites on arms and legs 95938
This procedure involves placing small pads (electrodes) on your arms and legs. These electrodes send gentle electric signals to specific areas, and the responses are measured. This helps assess the health of your nerves and muscles.
363 services358 patients
Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition to primary procedure) G0453
Continuous intraoperative neurophysiology monitoring is a service where a specialist oversees your nervous system's function during surgery, from a nearby or remote location. This is done every 15 minutes and is focused solely on you. It helps ensure surgical safety by identifying any potential nervous system changes promptly.
301 services35 patients
Needle measurement of electrical activity in arm or leg muscles, 2 extremities 95861
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. It helps diagnose conditions affecting nerves or muscles. It's generally painless, though you may feel some discomfort.
265 services261 patients
Measurement of brain wave activity (eeg) outside the brain during surgery 95955
An EEG (Electroencephalogram) during surgery monitors brain activity. Electrodes on the scalp record brain wave patterns, helping doctors ensure the brain is functioning normally throughout the procedure.
126 services124 patients
Placement of skin electrodes and measurement of central motor stimulation in arms and legs 95939
This procedure involves placing small patches (electrodes) on your skin over your arms and legs. These electrodes send harmless electrical signals to your muscles. The response is measured to assess the health and function of your nerves and muscles.
118 services116 patients
Needle measurement of electrical activity in arm, leg, trunk or head muscles, limited study 95870
This procedure, known as an electromyography (EMG), involves using a needle to measure electrical activity in your muscles. It can help diagnose conditions affecting nerves or muscles. It's a limited study, meaning only specific muscles in the arm, leg, trunk, or head are examined.
107 services56 patients

Hospital Affiliations CMS Care Compare 4

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

University Of MD Capital Region Medical Center

Acute Care Hospitals · Upper Marlboro, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210003
Location901 North Harry S Truman DriveUpper Marlboro, MD 20774 · Prince Georges County
Emergency services Birthing friendly

Tidalhealth Peninsula Regional, Inc

Acute Care Hospitals · Salisbury, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210019
Location100 East Carroll AvenueSalisbury, MD 21801 · Wicomico County
Emergency services Birthing friendly

University Of MD St Joseph Medical Center

Acute Care Hospitals · Towson, MD
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210063
Location7601 Osler DriveTowson, MD 21204 · Baltimore County
Emergency services Birthing friendly

Musc Health Columbia Medical Center Downtown

Acute Care Hospitals · Columbia, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420026
Location2435 Forest DriveColumbia, SC 29204 · Richland County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33136 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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.

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.

81.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.45
Promoting Interoperability100
Improvement Activities40
Cost50.59

Referred Medical Equipment & Supplies CMS DME claims 9

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
8 suppliers40 claims40 services$32.36 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers21 claims21 services$79.11 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers18 claims41 services$31.52 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
5 suppliers15 claims70 services$18.38 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
8 suppliers28 claims28 services$51.31 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
8 suppliers25 claims25 services$14.11 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.

DR. AKUA GYANEWAH ASARE MD
Student in an Organized Health Care Education/Training Program
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 355-8264
MARILUZ SANCHEZ PHARM.D.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1611 NW 12TH AVE, PHARMACY ADM. OFFICES/EAST TOWER BASEMENT 069
MIAMI, FL 33136
Miami-Dade County (305) 585-7309
DR. TASHA JOYTI N. D. COOKE TASHA COOKE
Student in an Organized Health Care Education/Training Program
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 243-3670
DR. JUANITA ANN MARIE HUNTER M.D.
Pediatrics (Pediatric Cardiology)
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 585-6042
WANDA LAVERNE MCGOWAN-BRAYNEN ARNP
Nurse Practitioner (Adult Health)
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 585-1111
DR. PERTTI KALEVI HAKALA M.D.
Anesthesiology
1611 NW 12TH AVE, CENTRAL 300
MIAMI, FL 33136
Miami-Dade County (305) 585-6970
JAYLOU M VELEZ TORRES M.D.
Pathology (Anatomic Pathology)
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 585-8381
ANNE-ISABELLE SOPHIA REME MD
Surgery
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 585-1280

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 Alberto Ramos's NPI number?

The NPI number for Alberto Ramos is 1215149265. It was assigned to this individual provider in the NPPES registry on May 3, 2007.

Where is Alberto Ramos located?

Alberto Ramos practices at 1611 NW 12th Ave, Miami, FL 33136. The listed phone number is (305) 243-3902.

What is Alberto Ramos's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Sleep Medicine, with taxonomy code 2084S0012X.

Is Alberto Ramos enrolled in Medicare?

Yes. Alberto 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 Alberto Ramos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alberto Ramos reassigns Medicare benefits to 2 organizations: University Of Miami (Miami, FL) and Surgical Neuromonitoring,pllc (Bellevue, WA). 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 Alberto Ramos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alberto Ramos accept?

Health plans from Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next, Molina Healthcare and Oscar Health Maintenance Organization of Florida and 1 other insurer list Alberto 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 Alberto Ramos affiliated with any hospitals?

According to CMS data, Alberto Ramos is affiliated with University Of MD Capital Region Medical Center, Tidalhealth Peninsula Regional, Inc, University Of MD St Joseph Medical Center and Musc Health Columbia Medical Center Downtown.

When was this NPI record last updated?

The NPPES record for Alberto Ramos was last updated on October 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.