Individual provider Active NPI

Romulo Corrada, M.D.

  • Obstetrics & Gynecology Physician
  • Corpus Christi, TX
National Provider Identifier
1114924446
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
J8971 Issued in TX
Practice address
7121 S Spid Dr
Ste 200
Corpus Christi, TX 78412-4940
Phone
(361) 993-6000
Fax
(361) 993-3676
NPI assigned
Jul 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 08971 TX
Obstetrics & Gynecology Physician 207V00000X J8971 TX Primary

Addresses

Primary practice location

7121 S Spid Dr
Ste 200
Corpus Christi, TX 78412-4940

Mailing address

7121 S Spid Dr
Ste 200
Corpus Christi, TX 78412-4940
Phone (361) 993-6000

Other identifiers 1

IdentifierTypeStateIssuer
044719501MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100810000345 TX Practitioner - Obstetrics/Gynecology 3577697770 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Puerto Rico School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Bend Womens Center PLLCGroup PAC ID 7911991914, 11 clinicians

Practice addresses (Care Compare)

7121 S Padre Island Dr
Suite 200
Corpus Christi, TX 78412-4940
Phone (361) 993-6000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
08971TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Bend Women's Center Current Accepting new patients
Coastal Bend Womens Center PLLC Obstetrics & Gynecology CurrentSince Jan 1, 2000 Accepting new patients
Bay Area Healthcare Group, LTD. Past Accepting new patients

Locations

7121 Spid Dr
Ste 200
Corpus Christi, TX 78412
Phone (361) 993-6000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17806/brand/1/csg/1/fhir/r4
  • Direct secure messaging: romulo.corrada.1@17806.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1114924446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7121 S SPID DR",
            "address_2": "STE 200",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784124940",
            "telephone_number": "361-993-6000",
            "fax_number": "361-993-3676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7121 S SPID DR",
            "address_2": "STE 200",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784124940",
            "telephone_number": "361-993-6000",
            "fax_number": "361-993-3676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORRADA",
        "first_name": "ROMULO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-01",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "08971",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "J8971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044719501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.