Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RAMY NOCHE M.D.
NPI 1245763143
Family Medicine - Sports Medicine in San Antonio, TX

Q: What is Ramy Noche's NPI number?

The NPI number for Ramy Noche is 1245763143. It was assigned to this individual provider in the NPPES registry on April 7, 2017.

Q: What is Ramy Noche's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Q: When was this NPI record last updated?

The NPPES record for Ramy Noche was last updated on October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.

Active since April 07, 2017PECOS EnrolledAccepts Medicare Assignment

2833 BABCOCK RD STE 435 TWR II, SAN ANTONIO, TX 78229(210) 705-5060(210) 705-5171 Get Directions Write a Review

NPPES record last updated: October 6, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 6, 2026, Nov 4, 2024, Oct 3, 2024 and 8 more (11 updates tracked since 2020).

On this page

About Ramy Noche M.d. NPPES

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

RAMY NOCHE M.D. (NPI 1245763143) is an individual sports medicine provider in San Antonio, Texas, licensed in Texas (S6264) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Baptist Medical Center, and maintains 7 additional practice locations.

NPPES Registry Identity

NPI1245763143

Entity TypeIndividualMale

Primary Taxonomy207QS0010X

Provider Legal NameRAMY NOCHECredential: M.D.

Location Address2833 BABCOCK RD STE 435 TWR IISan Antonio, TX 78229-4850

Mailing Address2833 Babcock Rd Ste 435San Antonio, TX 78229-4850 · (210) 705-5060 · Fax (210) 705-5171

Phone(210) 705-5060

Fax(210) 705-5171

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateApril 7, 2017

Last NPPES UpdateOctober 6, 202611 updates tracked since enumeration

NPPES CertifiedOctober 6, 2026

✔ NPI 1245763143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

License✔ Licensed in TX · S6264

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2833 BABCOCK RD STE 435 TWR II, San Antonio, TX 78229

Open in Google Maps ↗

Secondary Practice Locations 7

Location 1138 Old San Antonio Rd Ste 302Boerne, TX 78006-3491 · Phone (210) 705-5060

Location 211212 State Highway 151 Ste 200San Antonio, TX 78251-4501 · Phone (210) 705-5060

Location 3423 Treeline Park Ste 350San Antonio, TX 78209-2078 · Phone (210) 705-5060

Location 42833 Babcock Rd Ste 400 Twr II, Twr IISan Antonio, TX 78229-4896 · Phone (210) 705-5060

Location 54100 E Piedras Dr Ste 165San Antonio, TX 78228-2502 · Phone (210) 705-5060

Location 6346 County Road 4712Castroville, TX 78009-2260 · Phone (210) 705-5060

Location 76051 Fm 3009 Ste 260Schertz, TX 78154-3437 · Phone (210) 705-5060

Other Identifiers 3

Medicaid413067606TX

Other665028TX · Tmb

Other1Q2784TX · Medicare

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

Ramy Noche 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 ID6800166828

PECOS Enrollment IDI20200624002485

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

Medicare enrollment records show Ramy Noche reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bexar Emergency Physicians, PLLC

0.2 mi

Emergency Medicine

2827 BABCOCK RD
San Antonio, TX 78229

Reassigned Medicare billing, Texas enrollment
149 clinicians in this Medicare group

NPI 1548034994 (210) 705-6300

Tmc Provider Group PLLC

2.3 mi

Urgent Care

9885 W IH 10
San Antonio, TX 78230

Reassigned Medicare billing, Texas enrollment
223 clinicians in this Medicare group

NPI 1407211295 (210) 696-5599

Orthopaedic San Antonio PLLC

6.9 mi

Orthopaedic Surgery

423 TREELINE PARK STE 350
San Antonio, TX 78209

Reassigned Medicare billing, Texas enrollment
31 clinicians in this Medicare group

NPI 1750815809 (210) 705-5060

Comal Emergency Physicians, PLLC

45 mi

Emergency Medicine

1301 WONDER WORLD DR
San Marcos, TX 78666

Reassigned Medicare billing, Texas enrollment
137 clinicians in this Medicare group

NPI 1588438675 (512) 353-8979

Victoria Emergency Partners LLC

70 mi

Emergency Medicine

1110 N SARAH DEWITT DR
Gonzales, TX 78629

Reassigned Medicare billing, Texas enrollment
430 clinicians in this Medicare group

NPI 1164770996 (830) 672-7581

Dimmit Regional Hospital

94 mi

Rural Health

1313 VETERANS AVE STE A
Crystal City, TX 78839

Reassigned Medicare billing, Texas enrollment
Also billed through NPI 1326134255 (Texas)
57 clinicians in this Medicare group

NPI 1750901070 (830) 374-9823

Refugio County Memorial Hospital District

115 mi

Emergency Medicine

107 SWIFT ST
Refugio, TX 78377

Reassigned Medicare billing, Texas enrollment
Also billed through NPI 1942240189 (Texas)
44 clinicians in this Medicare group

NPI 1821178336 (361) 526-2321

Jackson County Hospital District

124 mi

Rural Health

1013A SOUTH WELLS STREET
Edna, TX 77957

Reassigned Medicare billing, Texas enrollment
Also billed through NPI 1124061882 (Texas)
100 clinicians in this Medicare group

NPI 1992748693 (361) 782-3560

Christus Trinity Clinic Texas

276 mi

Family Medicine

520 DOUGLAS BLVD
Tyler, TX 75702

Reassigned Medicare billing, Texas enrollment
2,745 clinicians in this Medicare group

NPI 1285684225 (903) 315-4119

Concord Medical Group PLLC

340 mi

Emergency Medicine

1602 AVENUE Q
Lubbock, TX 79401

Reassigned Medicare billing, Texas enrollment
1,338 clinicians in this Medicare group

NPI 1083630610 (888) 264-0330

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 13

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

672 services78 patients

Aspiration and/or injection of fluid large joint using ultrasound guidance 20611

This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.

79 services57 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.

64 services51 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

48 services40 patients

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.

42 services36 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

39 services39 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

37 services34 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.

25 services25 patients

Aspiration and/or injection of fluid from small joint using ultrasound guidance 20604

This procedure involves using ultrasound to accurately locate a small joint. A needle is then carefully inserted to remove fluid (aspiration) or inject medication. This can help diagnose or treat joint issues. It's generally safe and minimally invasive.

23 services16 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

23 services22 patients

Hyaluronan or derivative, monovisc, for intra-articular injection, per dose J7327

Monovisc is a treatment involving an injection of hyaluronan or its derivative into a joint, often the knee. This substance, found naturally in joint fluid, helps lubricate and cushion the joint. The injection can help ease pain, improve mobility, and reduce inflammation caused by arthritis.

21 services13 patients

Ultrasonic guidance for needle placement 76942

Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.

20 services18 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Baptist Medical Center

Acute Care Hospitals · San Antonio, TX

4/5 CMS rating

OwnershipProprietary

CMS Certification Number450058

Location111 Dallas StreetSan Antonio, TX 78205 · Bexar County

Emergency services Birthing friendly

Christus Santa Rosa Medical Center

Acute Care Hospitals · San Antonio, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number450237

Location2827 Babcock RoadSan Antonio, TX 78229 · Bexar County

Emergency services Birthing friendly

Refugio County Memorial Hospital

Critical Access Hospitals · Refugio, TX

OwnershipGovernment - Hospital District or Authority

CMS Certification Number451317

Location107 Swift StreetRefugio, TX 78377 · Refugio County

Emergency services

Jackson Healthcare Center

Critical Access Hospitals · Edna, TX

OwnershipGovernment - Hospital District or Authority

CMS Certification Number451363

Location1013 S WellsEdna, TX 77957 · Jackson County

Emergency services

Otto Kaiser Memorial Hospital

Critical Access Hospitals · Kenedy, TX

OwnershipGovernment - Hospital District or Authority

CMS Certification Number451364

Location3349 S Highway 181Kenedy, TX 78119 · Karnes County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78229 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

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.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOHN W. HINCHEY MD

Orthopaedic Surgery

2833 BABCOCK RD STE 435 TWR II
SAN ANTONIO, TX 78229

Bexar County (210) 705-5060

CODY J COVINGTON M.D.

Orthopaedic Surgery

2833 BABCOCK RD STE 435 TWR II
SAN ANTONIO, TX 78229

Bexar County (210) 705-5060

DR. JAMES W ADAMS MD

Orthopaedic Surgery

2833 BABCOCK RD STE 435 TWR II
SAN ANTONIO, TX 78229

Bexar County (210) 705-5060

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 Ramy Noche's NPI number?

The NPI number for Ramy Noche is 1245763143. It was assigned to this individual provider in the NPPES registry on April 7, 2017.

Where is Ramy Noche located?

Ramy Noche practices at 2833 Babcock Rd Ste 435 Twr II, San Antonio, TX 78229. The listed phone number is (210) 705-5060.

What is Ramy Noche's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Ramy Noche enrolled in Medicare?

Yes. Ramy Noche 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 Ramy Noche's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ramy Noche reassigns Medicare benefits to 11 organizations: Bexar Emergency Physicians, PLLC (San Antonio, TX), Tmc Provider Group PLLC (San Antonio, TX), Orthopaedic San Antonio PLLC (San Antonio, TX), Comal Emergency Physicians, PLLC (San Marcos, TX), Victoria Emergency Partners LLC (Gonzales, TX) and 6 more organizations, listed in the Medicare section above. 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 Ramy Noche's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ramy Noche accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 9 other insurers list Ramy Noche 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 Ramy Noche affiliated with any hospitals?

According to CMS data, Ramy Noche is affiliated with Baptist Medical Center, Christus Santa Rosa Medical Center, Refugio County Memorial Hospital, Jackson Healthcare Center and Otto Kaiser Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Ramy Noche was last updated on October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.