CARLOS MANUEL RAMOS PACHON MD
NPI 1780203083
General Practice in South Miami, FL

Active since April 16, 2020PECOS EnrolledAccepts Medicare Assignment
7031 SW 62ND AVE, SOUTH MIAMI, FL 33143(305) 284-7761 Get Directions Write a Review

NPPES record last updated: February 1, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 1, 2023, Jan 4, 2023, Apr 16, 2020 (3 updates tracked since 2020).

About Carlos Manuel Ramos Pachon Md NPPES

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

CARLOS MANUEL RAMOS PACHON MD (NPI 1780203083) is an individual general practice provider in South Miami, Florida, licensed in Florida (ME159720) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Jackson Health System, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1780203083
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameCARLOS MANUEL RAMOS PACHONCredential: MD
Location Address7031 SW 62ND AVESouth Miami, FL 33143-4701
Mailing Address7031 Sw 62nd AveSouth Miami, FL 33143-4701 · (305) 284-7761
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateApril 16, 2020
Last NPPES UpdateFebruary 1, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 1, 2023
✔ NPI 1780203083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in FL · ME159720
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedInternal MedicineTaxonomy 207R00000X · License ME159720 (FL)
7031 SW 62ND AVE, South Miami, FL 33143

Accepted 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

Carlos Manuel Ramos Pachon 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 ID3476924689
PECOS Enrollment IDI20230126002159
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 Carlos Ramos Pachon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
759 NW 22ND AVE
Miami, FL 33125
  • Reassigned Medicare billing, Florida enrollment
  • 15 clinicians in this Medicare group
Internal Medicine
160 NW 170TH ST
North Miami Beach, FL 33169
  • Reassigned Medicare billing, Florida enrollment
  • Medicare enrollment name: Oak Grove Physician Services PA
  • 119 clinicians in this Medicare group

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 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
179 services59 patients
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.
71 services32 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.
24 services24 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
19 services19 patients

Hospital Affiliations CMS Care Compare

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

Jackson Health System

Acute Care Hospitals · Miami, FL
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100022
Location1611 NW 12th AveMiami, FL 33136 · Miami-Dade County
Emergency services Birthing friendly

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.

Student in an Organized Health Care Education/Training Program
7031 SW 62ND AVE
SOUTH MIAMI, FL 33143
Student in an Organized Health Care Education/Training Program
7031 SW 62ND AVE
SOUTH MIAMI, FL 33143
Student in an Organized Health Care Education/Training Program
7031 SW 62ND AVE
SOUTH MIAMI, FL 33143
General Practice
7031 SW 62ND AVE
SOUTH MIAMI, FL 33143
Student in an Organized Health Care Education/Training Program
7031 SW 62ND AVE
SOUTH MIAMI, FL 33143
Student in an Organized Health Care Education/Training Program
7031 SW 62ND AVE
SOUTH MIAMI, FL 33143
Family Medicine
7031 SW 62ND AVE
SOUTH MIAMI, FL 33143
Orthopaedic Surgery
7031 SW 62ND AVE
SOUTH MIAMI, FL 33143

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 Carlos Ramos Pachon's NPI number?

The NPI number for Carlos Ramos Pachon is 1780203083. It was assigned to this individual provider in the NPPES registry on April 16, 2020.

Where is Carlos Ramos Pachon located?

Carlos Ramos Pachon practices at 7031 SW 62nd Ave, South Miami, FL 33143. The listed phone number is (305) 284-7761.

What is Carlos Ramos Pachon's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Carlos Ramos Pachon enrolled in Medicare?

Yes. Carlos Ramos Pachon 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 Carlos Ramos Pachon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carlos Ramos Pachon reassigns Medicare benefits to 2 organizations: Community Health And Wellness Center Of Miami Inc (Miami, FL) and Oak Grove Physician Services, P.A. (North Miami Beach, 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 Carlos Ramos Pachon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carlos Ramos Pachon accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Carlos Ramos Pachon 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 Carlos Ramos Pachon affiliated with any hospitals?

According to CMS data, Carlos Ramos Pachon is affiliated with Jackson Health System.

When was this NPI record last updated?

The NPPES record for Carlos Ramos Pachon was last updated on February 1, 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.