Individual provider Active NPI

Alfredo S Romero, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • San Antonio, TX
National Provider Identifier
1003914953
Registry record updated Dec 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
R3417 Issued in TX
Practice address
1202 E Sonterra Blvd Ste 101
San Antonio, TX 78258-4238
Phone
(210) 546-1410
Fax
(210) 546-1419
NPI assigned
Sep 21, 2006
Last updated
Dec 4, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X R3417 TX
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X R3417 TX Primary

Addresses

Primary practice location

1202 E Sonterra Blvd Ste 101
San Antonio, TX 78258-4238

Mailing address

622 Collins Dr
Ste. 200
Festus, MO 63028-2077
Phone (636) 638-1506

Other identifiers 2

IdentifierTypeStateIssuer
000000769503OtherMOBCBSMO
13003914953MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171209000035 TX Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 3971673633 Reassigns benefits to 1 organization
I20200910002688 FL Practitioner - Pain Management 3971673633 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Spine and Pain Center PAGroup PAC ID 3274613013, 5 clinicians

Practice addresses (Care Compare)

1543 Kingsley Ave
Suite 3
Orange Park, FL 32073-4583
Phone (904) 264-0770

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Solar Health, P.a. CurrentSince Oct 30, 2017 Accepting new patients
Premier Spine & Pain Center PA CurrentSince Aug 31, 2020 Accepting new patients
Solar Health, P.a. CurrentSince Oct 30, 2017 Accepting new patients
Outpatient Procedure Centers, LLC PastSince Sep 3, 2025 Accepting new patients
Affordable Health Center, Inc PastSince Aug 31, 2020 Accepting new patients

Locations

1045 Riverside Ave
Ste 110
Jacksonville, FL 32204
Phone (904) 264-0770

159 N 3rd St
Macclenny, FL 32063
Phone (904) 259-7815

1543 Kingsley Ave
Ste 3
Orange Park, FL 32073
Phone (904) 264-0770

554 Kingsley Ave
#5
Orange Park, FL 32073
Phone (904) 264-0770

910 N Galloway Ave
#302
Mesquite, TX 75149
Phone (972) 301-8897

811 S Central Expy
Ste 103
Richardson, TX 75080
Phone (972) 310-7121

1202 E Sonterra Blvd
Ste 101
San Antonio, TX 78258
Phone (210) 334-0245

Networks

  • FL HMO
  • AL HMO D-SNP
  • devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
  • FL HMO D-SNP
  • AL HMO
  • devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
  • devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
  • FL PPO
  • devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
  • devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
  • FL HMO C-SNP

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IECEAA/Endpoint/IECEAA

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512345600000",
    "number": "1003914953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 COLLINS DR",
            "address_2": "STE. 200",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630282077",
            "telephone_number": "636-638-1506",
            "fax_number": "636-638-1507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 E SONTERRA BLVD STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584238",
            "telephone_number": "210-546-1410",
            "fax_number": "210-546-1419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMERO",
        "first_name": "ALFREDO",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2017-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "R3417",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "TX",
            "license": "R3417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMO",
            "identifier": "000000769503",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13003914953",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.