Individual provider Active NPI

Jordan Kristopher Romick, DO

  • Sports Medicine (Family Medicine) Physician
  • Fremont, OH
National Provider Identifier
1093219404
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
34.018288 Issued in OH
Practice address
1479 N River Rd
Fremont, OH 43420-9760
Phone
(419) 355-9440
Fax
(419) 355-9443
NPI assigned
Mar 20, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036162019 IL
Sports Medicine (Family Medicine) Physician 207QS0010X 34.018288 OH Primary

Addresses

Primary practice location

1479 N River Rd
Fremont, OH 43420-9760

Mailing address

1479 N River Rd
Fremont, OH 43420-9760
Phone (419) 355-9440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, OH2 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
I20230113000225 IL Practitioner - Family PracticePractitioner - Emergency Medicine 2769807239 Reassigns benefits to 2 organizations
I20260624001124 OH Practitioner - Family Practice 2769807239

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Ohio University, College of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vituity - Illinois Auc LLPGroup PAC ID 0547516932, 35 clinicians
Southern Illinois Healthcare Foundation IncGroup PAC ID 1456256874, 117 clinicians
Northern Ohio Medical Specialists,LLCGroup PAC ID 2769386192, shared by 44 NPIs, 252 clinicians

Practice addresses (Care Compare)

1512 N Green Mount Rd
O Fallon, IL 62269-2083
Phone (618) 624-3750

2001 State St
East Saint Louis, IL 62205-1803
Phone (618) 271-9191

3 Saint Elizabeth Blvd
Suite 4000
O Fallon, IL 62269-1284
Phone (618) 233-5480

3004 Hayes Ave
Sandusky, OH 44870-5321
Phone (419) 609-1112

Hospital & facility affiliations

  • HSHS St Elizabeth'S Hospital Hospital, O Fallon, IL, CCN 140187

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Illinois Healthcare Foundation Inc Family Medicine Current Accepting new patients
Southern Illinois Healthcare Foundation Inc CurrentSince Nov 3, 2022 Accepting new patients
Vituity - Illinois Auc LLP Emergency Medicine CurrentSince Dec 31, 2024 Accepting new patients
Vituity - Illinois Auc LLP Emergency Medicine CurrentSince Dec 31, 2024 Accepting new patients
Southern Illinois Healthcare Foundation, Inc. Family Medicine CurrentSince Nov 3, 2022 Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

6000 Bond Ave
East Saint Louis, IL 62207
Phone (618) 332-2740

2001 State St
East St Louis, IL 62205
Phone (618) 271-0204

801 W Temple Ave
Effingham, IL 62401
Phone (217) 342-5800

3 Saint Elizabeth Blvd
Ste 4000
O Fallon, IL 62269
Phone (618) 233-5480

1512 N Green Mount Rd
O Fallon, IL 62269
Phone (618) 624-0100

Interoperability endpoints

  • Direct secure messaging: jordan.romick.1@9559.direct.athenahealth.com

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 and National Provider Directory roles.

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": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1093219404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1479 N RIVER RD",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434209760",
            "telephone_number": "419-355-9440",
            "fax_number": "419-355-9443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1479 N RIVER RD",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434209760",
            "telephone_number": "419-355-9440",
            "fax_number": "419-355-9443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMICK",
        "first_name": "JORDAN",
        "middle_name": "KRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-20",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036162019",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "OH",
            "license": "34.018288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, OH

Sources for this page

Verify at the official NPI Registry.