DR. RAMON ALBERTO RIOJAS MD PHD
NPI 1225354145
Surgery in Baltimore, MD

Active since April 16, 2010PECOS EnrolledAccepts Medicare Assignment
74.39/100
CMS Quality Rating
419 W REDWOOD ST STE 300, BALTIMORE, MD 21201(667) 214-1718(410) 706-6976 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 29, 2024, May 2, 2019, Aug 30, 2018 (3 updates tracked since 2018).

About Dr. Ramon Alberto Riojas Md Phd NPPES

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

DR. RAMON ALBERTO RIOJAS MD PHD (NPI 1225354145) is an individual surgery provider in Baltimore, Maryland, licensed in Mississippi (D0095246) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with University Of Maryland Medical Center, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1225354145
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. RAMON ALBERTO RIOJASCredential: MD PHD
Location Address419 W REDWOOD ST STE 300Baltimore, MD 21201-7003
Mailing AddressPo Box 64226Baltimore, MD 21264-4226 · (667) 214-1734 · Fax (410) 706-6976
Fax(410) 706-6976
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateApril 16, 2010
Last NPPES UpdateJuly 29, 20243 updates tracked since enumeration
NPPES CertifiedJuly 29, 2024
NPI 1225354145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in MS · D0095246
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
419 W REDWOOD ST STE 300, Baltimore, MD 21201

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. Ramon Alberto Riojas Md Phd 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 ID5799918538
PECOS Enrollment IDI20220912000015, I20221206003167
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 2

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.

Replacement of aortic valve through the skin and femoral artery 33361
This procedure, known as Transcatheter Aortic Valve Replacement (TAVR), involves replacing a damaged aortic valve through a small incision in the leg. A catheter is inserted into the femoral artery and guided up to the heart. The new valve is then positioned and deployed, restoring normal blood flow.
58 services58 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
14 services14 patients

Hospital Affiliations CMS Care Compare 5

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

University Of Maryland Medical Center

Acute Care Hospitals · Baltimore, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210002
Location22 South Greene StreetBaltimore, MD 21201 · Baltimore City County
Emergency services Birthing friendly

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 Baltimore Washington Medical Center

Acute Care Hospitals · Glen Burnie, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number210043
Location301 Hospital DriveGlen Burnie, MD 21061 · Anne Arundel County
Emergency services Birthing friendly

Umd Upper Chesapeake Medical Center

Acute Care Hospitals · Bel Air, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number210049
Location500 Upper Chesapeake DriveBel Air, MD 21014 · Harford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21201 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
Most-billed visit code 99213
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.

74.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.71
Promoting Interoperability97
Improvement Activities40
Cost52.43

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.

Dietitian, Registered
419 W REDWOOD ST STE 300
BALTIMORE, MD 21201
Surgery (Surgical Oncology)
419 W REDWOOD ST STE 300
BALTIMORE, MD 21201
Dietitian, Registered (Nutrition, Obesity and Weight Management)
419 W REDWOOD ST STE 300
BALTIMORE, MD 21201
Surgery (Surgical Oncology)
419 W REDWOOD ST STE 300
BALTIMORE, MD 21201
Physician Assistant
419 W REDWOOD ST STE 300
BALTIMORE, MD 21201
Nurse Practitioner (Acute Care)
419 W REDWOOD ST STE 300
BALTIMORE, MD 21201
Nurse Practitioner (Acute Care)
419 W REDWOOD ST STE 300
BALTIMORE, MD 21201
Dietitian, Registered
419 W REDWOOD ST STE 300
BALTIMORE, MD 21201

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 Riojas's NPI number?

The NPI number for Ramon Riojas is 1225354145. It was assigned to this individual provider in the NPPES registry on April 16, 2010.

Where is Ramon Riojas located?

Ramon Riojas practices at 419 W Redwood St Ste 300, Baltimore, MD 21201. The listed phone number is (667) 214-1718.

What is Ramon Riojas's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Ramon Riojas enrolled in Medicare?

Yes. Ramon Riojas 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 Ramon Riojas accept?

Health plans from AmeriHealth Caritas Next and Highmark Blue Cross Blue Shield Delaware list Ramon Riojas 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 Ramon Riojas affiliated with any hospitals?

According to CMS data, Ramon Riojas is affiliated with University Of Maryland Medical Center, University Of MD Capital Region Medical Center, Tidalhealth Peninsula Regional, Inc, University Of MD Baltimore Washington Medical Center and Umd Upper Chesapeake Medical Center.

When was this NPI record last updated?

The NPPES record for Ramon Riojas was last updated on July 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.