Individual provider Active NPI

Matthew Romano, PA-C

  • Physician Assistant
  • Liverpool, NY
National Provider Identifier
1073996567
Registry record updated Jul 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
018725 Issued in NY
Practice address
5112 W Taft Rd
Suite H
Liverpool, NY 13088-4868
Phone
(315) 452-3235
Fax
(315) 471-0749
NPI assigned
Jul 2, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 018725 NY Primary

Addresses

Primary practice location

5112 W Taft Rd
Suite H
Liverpool, NY 13088-4868

Mailing address

5112 W Taft Rd
Suite H
Liverpool, NY 13088-4868
Phone (315) 452-3235

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151218001382 NY Practitioner - Physician Assistant 8325349244 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastroenterology and Hepatology of Central New York, PCGroup PAC ID 3072505411, 27 clinicians

Practice addresses (Care Compare)

5112 W Taft Rd
Suite H
Liverpool, NY 13088-4866
Phone (315) 452-3235

Hospital & facility affiliations

  • Oswego Hospital Hospital, Oswego, NY, CCN 330218
  • Samaritan Medical Center Hospital, Watertown, NY, CCN 330157
  • Crouse Hospital Hospital, Syracuse, NY, CCN 330203
  • University Hospital S U N Y Health Science Center Hospital, Syracuse, NY, CCN 330241

Merit-based Incentive Payment System (MIPS)

Final score
90.44 of 100Reported as group
Quality
89.84
Promoting interoperability
100
Improvement activities
40
Cost
78.28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
018725NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Digestive Disease Center of Central New York, LLC Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mromano@hiemail.healtheconnections.org
  • Direct secure messaging: mromano2387822@direct.trinity-health.org

Organizations & group practices 2

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

Hospital & facility affiliations 4

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": "1435795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435795200000",
    "number": "1073996567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5112 W TAFT RD",
            "address_2": "SUITE H",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130884868",
            "telephone_number": "315-452-3235",
            "fax_number": "315-471-0749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5112 W TAFT RD",
            "address_2": "SUITE H",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130884868",
            "telephone_number": "315-452-3235",
            "fax_number": "315-471-0749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMANO",
        "first_name": "MATTHEW",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-02",
        "last_updated": "2015-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "018725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liverpool, NY

Sources for this page

Verify at the official NPI Registry.