Adriana Romero, D.O.
Individual provider Active NPI Pediatrics Physician · Bolingbrook, IL
NPI 1043487838 · NPPES record last updated Dec 15, 2011
Key facts
- NPI
- 1043487838
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 036.124655 (IL)
- Practice address
- 215 Remington Blvd
Suite B
Bolingbrook, IL 60440-3656 - Phone
- (630) 226-5300
- NPI assigned
- May 12, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 8
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in IL, OR, TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170823001637 | IL | Practitioner - Pediatric Medicine | 1658643846 | Reassigns benefits to 1 organization |
| I20230918004033 | OR | Practitioner - Pediatric Medicine | 1658643846 | Reassigns benefits to 1 organization |
| I20250212000385 | TX | Practitioner - Pediatric Medicine | 1658643846 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.124655 | IL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laguna Healthcare Corporation | Current |
Accepting new patients | |
| Kaiser Foundation Health Plan of the Northwest | Pediatrics | Current | Accepting new patients |
| Kaiser Foundation Health Plan of the Northwest | Current |
Accepting new patients | |
| Laguna Healthcare Corporation | Current |
Accepting new patients | |
| Rush University Medical Group | Pediatrics | Current |
Accepting new patients |
| Rush University Medical Center | Current |
Accepting new patients | |
| Kaiser Foundation Health Plan of the Northwest | Pediatrics | Current |
Accepting new patients |
| Advanced Pediatric Care, LTD. | Pediatrics | Past | Accepting new patients |
Locations
75 Remittance Dr
Dept 1611
Chicago, IL 60675
1653 W Congress Pkwy
Chicago, IL 60612
Phone (312) 942-3138
1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875
7222 W Cermak Rd
Ste 718
Riverside, IL 60546
Phone (312) 942-2200
10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946
3550 N Interstate Ave
Portland, OR 97227
Phone (503) 285-9321
7201 N Interstate Ave
Portland, OR 97217
Phone (503) 240-4051
2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/f99feffa-a04a-4042-9325-6ec22532618b/
- aromero138003@direct.rush.rush-health.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | 036.124655 | IL | Yes |
Addresses
Primary practice location
215 Remington Blvd
Suite B
Bolingbrook, IL 60440-3656
Mailing address
9533 Minnick Ave Apt 3W
Oak Lawn, IL 60453-6375
Phone (773) 562-0336
Other providers in Bolingbrook, IL
- Nicholas Rodriguez
- Joyce Roesler
- Collin Joseph Rogers
- Huma Q. Rohail
- Elisabeth Roman
- Brian Michael Rosen
- Robin Ross
- Thomas Ross
- Sherry Rowland
- Ariana Ruiz
All providers in Bolingbrook, IL · Pediatrics Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 15, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.