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DR. MARCELA CAROLINA RAMIREZ MD
NPI 1578724365
Surgery - Trauma Surgery in Miami, FL

Active since June 24, 2008PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
11760 BIRD RD # SITE722, MIAMI, FL 33175(305) 559-1883(305) 559-1887 Get Directions Write a Review

NPPES record last updated: February 10, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Marcela Carolina Ramirez Md NPPES

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

DR. MARCELA CAROLINA RAMIREZ MD (NPI 1578724365) is an individual trauma surgery provider in Miami, Florida, licensed in Florida (ME108382) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with Hca Florida Kendall Hospital, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1578724365
Entity TypeIndividualFemale
Primary Taxonomy2086S0127X
Provider Legal NameDR. MARCELA CAROLINA RAMIREZCredential: MD
Location Address11760 BIRD RD # SITE722Miami, FL 33175-3582
Mailing Address11760 Bird Rd # Site722Miami, FL 33175-3582 · (305) 559-1883 · Fax (305) 559-1887
Phone(305) 559-1883
Fax(305) 559-1887
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJune 24, 2008
Last NPPES UpdateFebruary 10, 2022
✔ NPI 1578724365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgery · Trauma SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0127X
License✔ Licensed in FL · ME108382
Definition
Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.
Also ListedSurgeryTaxonomy 208600000X · License ME108382 (FL)
Also ListedSurgery · Surgical Critical CareTaxonomy 2086S0102X · License ME108382 (FL)
11760 BIRD RD # SITE722, Miami, FL 33175
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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. Marcela Carolina Ramirez 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 ID1557534112
PECOS Enrollment IDI20111027000535
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 Marcela Ramirez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lawnwood Healthcare Specialists LLC
117 mi
Neurological Surgery
2401 FRIST BLVD STE 3-5
Fort Pierce, FL 34950
  • Reassigned Medicare billing, Florida enrollment
  • 39 clinicians in this Medicare group
NPI 1649437765 (772) 462-3939
Lawnwood Cardiovascular Surgery LLC
117 mi
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2100 NEBRASKA AVE STE 201
Fort Pierce, FL 34950
  • Reassigned Medicare billing, Florida enrollment
  • 58 clinicians in this Medicare group
NPI 1386724169 (772) 465-8100

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 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.
80 services58 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.
28 services28 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.
20 services20 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Hca Florida Kendall Hospital

Acute Care Hospitals · Miami, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100209
Location11750 Bird RdMiami, FL 33175 · Miami-Dade County
Emergency services Birthing friendly

Mariners Hospital

Critical Access Hospitals · Tavernier, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number101313
Location91500 Overseas HighwayTavernier, FL 33070 · Monroe County
Emergency services

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
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%91 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Marcela Ramirez's NPI number?

The NPI number for Marcela Ramirez is 1578724365. It was assigned to this individual provider in the NPPES registry on June 24, 2008.

Where is Marcela Ramirez located?

Marcela Ramirez practices at 11760 Bird Rd # Site722, Miami, FL 33175. The listed phone number is (305) 559-1883.

What is Marcela Ramirez's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Trauma Surgery, with taxonomy code 2086S0127X.

Is Marcela Ramirez enrolled in Medicare?

Yes. Marcela 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 organizations bill Medicare for Marcela Ramirez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marcela Ramirez reassigns Medicare benefits to 2 organizations: Lawnwood Healthcare Specialists LLC (Fort Pierce, FL) and Lawnwood Cardiovascular Surgery LLC (Fort Pierce, FL). 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 Marcela Ramirez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marcela Ramirez accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and Florida Blue (BlueCross BlueShield FL) and 4 other insurers list Marcela 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 Marcela Ramirez affiliated with any hospitals?

According to CMS data, Marcela Ramirez is affiliated with Hca Florida Kendall Hospital and Mariners Hospital.

When was this NPI record last updated?

The NPPES record for Marcela Ramirez was last updated on February 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.