Raul Romero, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

17336 Issued in AZ

Legal business name

RAUL ROMERO, MD

Practice address

26 E Baseline Rd Ste 121
Phoenix, AZ 85042-6541

Phone

(602) 243-3455

Fax

(602) 343-3404

NPI assigned

Apr 8, 2010

Organization subpart

No

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

Authorized official

Name

Clifford B Godley

Title

Accountant

Phone

(602) 954-0897

Specialties & licenses 1

Addresses

Other names 1

• South Phoenix Community Health Center Doing business as

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

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Raul D Romero, M.D.

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1407938681
  NPD

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

{
    "created_epoch": "1270684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727913600000",
    "number": "1063738524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 E BASELINE RD STE 121",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850426541",
            "telephone_number": "602-243-3455",
            "fax_number": "602-343-3404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 E BASELINE RD STE 121",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850426541",
            "telephone_number": "602-243-3455",
            "fax_number": "602-343-3404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAUL ROMERO, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-08",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A",
        "authorized_official_last_name": "GODLEY",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "ACCOUNTANT",
        "authorized_official_telephone_number": "602-954-0897"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "17336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Phoenix Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shiva K Ratuapli, MD
• Kelly Rau, LMFT
• Suzanne Lyons Rauch, PA-C
• Tatiana Lee Rauch, OT
• Dana Raugust, RN
• Nicole Ann Raus, COTA/L
• John Frederick Rausch Jr., M.D.
• Kayla Grace Rausch, FNP
• Nicole J Rauscher, ACNP
• Kavi Raval, D.O

• Internal Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.