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DR. ALLAN MARVIN RAMIREZ M.D.
NPI 1457389280
Internal Medicine - Pulmonary Disease in Louisville, KY

Active since June 29, 2006PECOS EnrolledAccepts Medicare Assignment
73.19/100
CMS Quality Rating
550 S JACKSON ST, 3RD FLOOR, LOUISVILLE, KY 40202(502) 852-8524(502) 852-1359 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Allan Marvin Ramirez M.d. NPPES

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

DR. ALLAN MARVIN RAMIREZ M.D. (NPI 1457389280) is an individual pulmonary disease provider in Louisville, Kentucky, licensed in Kentucky (44038) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Hardin, and is a graduate of Northwestern University Feinberg Medical School (1995).

NPPES Registry Identity

NPI1457389280
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. ALLAN MARVIN RAMIREZCredential: M.D.
Location Address550 S JACKSON ST, 3RD FLOORLouisville, KY 40202-1622
Mailing Address550 S Jackson St, 3rd FloorLouisville, KY 40202-1622 · (502) 852-8524 · Fax (502) 852-1359
Phone(502) 852-8524
Fax(502) 852-1359
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1995
Enumeration DateJune 29, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1457389280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in KY · 44038
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 44038 (KY)
550 S JACKSON ST, Louisville, KY 40202
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee 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. Allan Marvin 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 ID4082739875
PECOS Enrollment IDI20110322000884
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 Reassignment

Medicare enrollment records show Allan Ramirez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Louisville Physicians, Inc.
Same address
Internal Medicine
550 S JACKSON ST
Louisville, KY 40202
  • Reassigned Medicare billing, Kentucky enrollment
  • 2,337 clinicians in this Medicare group
NPI 1366722316 (502) 813-6724

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 3

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.

Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
78 services43 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.
36 services30 patients
Irrigation and suction of lung airways to obtain cells using an endoscope 31624
This is a procedure where a thin, flexible tube called an endoscope is inserted through your mouth into the lungs. A small amount of saline is then introduced to wash the airways. The fluid, along with cells from the lung, is suctioned back for analysis.
18 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 Health Hardin

Acute Care Hospitals · Elizabethtown, KY
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number180012
Location913 North Dixie AvenueElizabethtown, KY 42701 · Hardin County
Emergency services

Uofl Health - Shelbyville Hospital

Acute Care Hospitals · Shelbyville, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number180016
Location727 Hospital DriveShelbyville, KY 40065 · Shelby County
Emergency services

Owensboro Health Regional Hospital

Acute Care Hospitals · Owensboro, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180038
Location1201 Pleasant Valley RoadOwensboro, KY 42303 · Daviess County
Emergency services Birthing friendly

Jewish Hospital & St Mary's Healthcare

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180040
Location200 Abraham Flexner WayLouisville, KY 40202 · Jefferson County
Emergency services

University Of Louisville Hospital

Acute Care Hospitals · Louisville, KY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180141
Location530 South Jackson StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40202 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

73.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.74
Promoting Interoperability100
Improvement Activities40
Cost51.91

Referred Medical Equipment & Supplies CMS DME claims 18

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers15 claims15 services$18.58 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers18 claims18 services$4.92 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
7 suppliers35 claims35 services$81.19 avg. paid by Medicare
Azathioprine, oral, 50 mg J7500
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier11 claims990 services$2.47 avg. paid by Medicare
Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg J7503
Treatment-Chemotherapy · category RH002N
1 supplier78 claims26,160 services$1.20 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
8 suppliers110 claims22,680 services$0.30 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.

BROCK AARON MARTIN M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
550 S JACKSON ST
LOUISVILLE, KY 40202
Jefferson County (502) 852-1816
UNIVERSITY PHYSICIAN ASSOCIATES
Internal Medicine (Critical Care Medicine)
550 S JACKSON ST, 3RD FLOOR
LOUISVILLE, KY 40202
Jefferson County (502) 561-8686
KATHRYN KENDALL BURKE MD
Student in an Organized Health Care Education/Training Program
550 S JACKSON ST
LOUISVILLE, KY 40202
Jefferson County (502) 852-5666
STANLEY A. GALL M.D.
Obstetrics & Gynecology (Maternal & Fetal Medicine)
550 S JACKSON ST, 3RD FLOOR
LOUISVILLE, KY 40202
Jefferson County (502) 561-8850
DR. STEVEN B LIPPMANN M.D.
Psychiatry & Neurology (Psychiatry)
550 S JACKSON ST
LOUISVILLE, KY 40202
Jefferson County (502) 852-1759
STEPHEN HOUGHLAND MD
Internal Medicine
550 S JACKSON ST
LOUISVILLE, KY 40202
Jefferson County (502) 562-6510
UNIVERISTY PHYSICIAN ASSOCIATES
Surgery (Vascular Surgery)
550 S JACKSON ST, 2ND FLOOR
LOUISVILLE, KY 40202
Jefferson County (502) 562-6511
AMELIA EINFALT POWER MD
Student in an Organized Health Care Education/Training Program
550 S JACKSON ST
LOUISVILLE, KY 40202
Jefferson County (502) 852-4277

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 Allan Ramirez's NPI number?

The NPI number for Allan Ramirez is 1457389280. It was assigned to this individual provider in the NPPES registry on June 29, 2006.

Where is Allan Ramirez located?

Allan Ramirez practices at 550 S Jackson St 3rd Floor, Louisville, KY 40202. The listed phone number is (502) 852-8524.

What is Allan Ramirez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Allan Ramirez enrolled in Medicare?

Yes. Allan 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.

Which organization bills Medicare for Allan Ramirez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Allan Ramirez reassigns Medicare benefits to University Of Louisville Physicians, Inc. (Louisville, KY). The 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 Allan Ramirez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Allan Ramirez accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Allan 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 Allan Ramirez affiliated with any hospitals?

According to CMS data, Allan Ramirez is affiliated with Baptist Health Hardin, UofL Health - Shelbyville Hospital, Owensboro Health Regional Hospital, Jewish Hospital & St Mary's Healthcare and University Of Louisville Hospital.

When was this NPI record last updated?

The NPPES record for Allan Ramirez was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.