DR. ABDIEL RAMOS MERCADO M.D.
NPI 1265975742
Internal Medicine - Infectious Disease in Detroit, MI

Q: What is Abdiel Ramos Mercado's NPI number?

The NPI number for Abdiel Ramos Mercado is 1265975742. It was assigned to this individual provider in the NPPES registry on December 1, 2016.

Q: What is Abdiel Ramos Mercado's specialty?

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

Active since December 01, 2016PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

1 WOODWARD AVE FL 14, DETROIT, MI 48226(313) 470-2680 Get Directions Write a Review

NPPES record last updated: November 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 10, 2025, May 11, 2023 (2 updates tracked since 2023).

On this page

About Dr. Abdiel Ramos Mercado M.d. NPPES

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

DR. ABDIEL RAMOS MERCADO M.D. (NPI 1265975742) is an individual infectious disease provider in Detroit, Michigan, licensed in Michigan (4301116904) and active in the NPI registry since December 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in San German, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1265975742

Entity TypeIndividualMale

Primary Taxonomy207RI0200X

Provider Legal NameDR. ABDIEL RAMOS MERCADOCredential: M.D.

Location Address1 WOODWARD AVE FL 14Detroit, MI 48226-3430

Mailing Address6255 W Sunset Blvd Fl 21Los Angeles, CA 90028-7422 · (323) 860-5200 · Fax (323) 467-7119

Phone(313) 470-2680

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateDecember 1, 2016

Last NPPES UpdateNovember 10, 20252 updates tracked since enumeration

NPPES CertifiedNovember 10, 2025

✔ NPI 1265975742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RI0200X

License✔ Licensed in MI · 4301116904

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.

1 WOODWARD AVE FL 14, Detroit, MI 48226

Open in Google Maps ↗

Secondary Practice Location 1

Location 15 Calle SolSan German, PR 00683-3950 · Phone (787) 408-6567

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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. Abdiel Ramos Mercado 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 ID5991048837

PECOS Enrollment IDI20190516003044

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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

1,381 services146 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

509 services81 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

86 services78 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

67 services56 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48226 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

$134.28 typical visit price

range $58.04 – $177.36

Typical copayment $33.57 (range $14.51 – $44.34)

Most-billed visit code 99204

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

93.33

Improvement Activities

Cost

100

Other Providers at the Same Location NPPES

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

AIDS HEALTHCARE FOUNDATION

Internal Medicine

1 WOODWARD AVE FL 14
DETROIT, MI 48226

Wayne County (313) 470-2680

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 Abdiel Ramos Mercado's NPI number?

The NPI number for Abdiel Ramos Mercado is 1265975742. It was assigned to this individual provider in the NPPES registry on December 1, 2016.

Where is Abdiel Ramos Mercado located?

Abdiel Ramos Mercado practices at 1 Woodward Ave Fl 14, Detroit, MI 48226. The listed phone number is (313) 470-2680.

What is Abdiel Ramos Mercado's specialty?

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

Is Abdiel Ramos Mercado enrolled in Medicare?

Yes. Abdiel Ramos Mercado 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 Abdiel Ramos Mercado accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Abdiel Ramos Mercado 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 Abdiel Ramos Mercado was last updated on November 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.