DR. RAMON ANTONIO PINEDA M.D.
NPI 1861505539
Internal Medicine in Pasadena, TX

Active since August 16, 2006PECOS EnrolledAccepts Medicare Assignment
2418 SOUTHMORE AVE, PASADENA, TX 77502(713) 472-2700(713) 472-4216 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Dr. Ramon Antonio Pineda M.d. NPPES

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

DR. RAMON ANTONIO PINEDA M.D. (NPI 1861505539) is an individual internal medicine provider in Pasadena, Texas, licensed in Texas (H7208) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Hca Houston Healthcare Southeast, and is a graduate of Other (1979).

NPPES Registry Identity

NPI1861505539
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. RAMON ANTONIO PINEDACredential: M.D.
Location Address2418 SOUTHMORE AVEPasadena, TX 77502-1421
Mailing Address2418 East SouthmorePasadena, TX 77502 · (713) 472-2700 · Fax (713) 472-4216
Fax(713) 472-4216
Sole ProprietorNo
Medical School CMSOtherGraduated 1979
Enumeration DateAugust 16, 2006
Last NPPES UpdateOctober 22, 2025
NPPES CertifiedOctober 22, 2025
NPI 1861505539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in TX · H7208
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2418 SOUTHMORE AVE, Pasadena, TX 77502

Other Identifiers 6

Other010029302TX · Medicare Rail Road #
Other10014906TX · Amerigroup Medicaid
Medicaid137970308TX
Other85613ZTX · Bcbs Hmo #
Other00D53PTX · Bcbs Ppo #
Other76-0367510TX · Tax Id #

Accepted 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. Ramon Antonio Pineda 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 ID1153370168
PECOS Enrollment IDI20050118000160
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 14

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.

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.
118 services69 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
107 services32 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.
106 services60 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
96 services69 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
93 services60 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
90 services43 patients

Hospital Affiliations CMS Care Compare

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

Hca Houston Healthcare Southeast

Acute Care Hospitals · Pasadena, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450097
Location4000 Spencer HwyPasadena, TX 77504 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77502 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers15 claims83 services$6.19 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

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

Internal Medicine
2418 SOUTHMORE AVE
PASADENA, TX 77502

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 Ramon Pineda's NPI number?

The NPI number for Ramon Pineda is 1861505539. It was assigned to this individual provider in the NPPES registry on August 16, 2006.

Where is Ramon Pineda located?

Ramon Pineda practices at 2418 Southmore Ave, Pasadena, TX 77502. The listed phone number is (713) 472-2700.

What is Ramon Pineda's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ramon Pineda enrolled in Medicare?

Yes. Ramon Pineda 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 Ramon Pineda accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Ramon Pineda 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 Ramon Pineda affiliated with any hospitals?

According to CMS data, Ramon Pineda is affiliated with Hca Houston Healthcare Southeast.

When was this NPI record last updated?

The NPPES record for Ramon Pineda was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.