E. S. Romanelli, MD., PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

E. S. ROMANELLI, MD., PA

Doing business as

Your Clinic

Practice address

1141 Kinwest Pkwy
Suite 100
Irving, TX 75063-0100

Phone

(214) 239-2222

Fax

(214) 239-2223

NPI assigned

Apr 2, 2007

Last updated

Feb 4, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Enid S Romanelli, M.D.NPI 1710903513

Title

President

Phone

(214) 239-2222

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Your Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Enid Samara Romanelli, M.D.

  • Family Medicine Physician
  • Irving, TX
  • NPI 1710903513
  Medicare reassignment NPD Authorized official
• Yolanda Yvonne Clay-PO, M.D.

  • Internal Medicine Physician
  • Austin, TX
  • NPI 1164405833
  Medicare reassignment NPD
• Diana Choy Chavez, FNP-C

  • Nurse Practitioner
  • Dallas, TX
  • NPI 1982154175
  NPD (past)

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580774400000",
    "number": "1033230925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 KINWEST PKWY",
            "address_2": "SUITE 100",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750630100",
            "telephone_number": "214-239-2222",
            "fax_number": "214-239-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 KINWEST PKWY",
            "address_2": "SUITE 100",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750630100",
            "telephone_number": "214-239-2222",
            "fax_number": "214-239-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E. S. ROMANELLI, MD., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A",
        "authorized_official_last_name": "ROMANELLI",
        "authorized_official_first_name": "ENID",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-239-2222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1675308-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Your Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Irving, TX
• Providers in Irving, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.