Individual provider Active NPI

Idar Eric Rommen, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Monroe, LA
National Provider Identifier
1124049259
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
344523 Issued in LA
Practice address
105 University Ave
Monroe, LA 71203
Phone
(318) 966-8266
NPI assigned
Jul 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 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 MD00020810 WA
Sports Medicine (Family Medicine) Physician 207QS0010X 344523 LA Primary

Addresses

Primary practice location

105 University Ave
Monroe, LA 71203

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (318) 966-8266

Other practice location 1

629 Avenue D
Snohomish, WA 98290-2330
Phone (360) 568-1554

Other identifiers 2

IdentifierTypeStateIssuer
080172058OtherWAMEDICARE RAILROAD
1027747MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, LA2 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
I20090430000416 WA Practitioner - Family Practice 3870676596 Reassigns benefits to 1 organization
I20260506003706 LA Practitioner - Family PracticePractitioner - Sports Medicine 3870676596 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
University of Washington School of Medicine, 1982
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00020810WAMDFamily Medicine Physician
344523LAMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Public Hospital District No 1 of Snohomish County CurrentSince Mar 1, 2009 Accepting new patients
Public Hospital District 1 of Snohomish County CurrentSince Mar 1, 2009 Accepting new patients

Locations

14701 179th Ave SE
Monroe, WA 98272
Phone (360) 794-1409

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": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1124049259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166038",
            "telephone_number": "318-966-8266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 UNIVERSITY AVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "71203",
            "telephone_number": "318-966-8266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "629 Avenue D",
            "address_purpose": "LOCATION",
            "city": "Snohomish",
            "state": "WA",
            "postal_code": "982902330",
            "country_code": "US",
            "telephone_number": "360-568-1554",
            "fax_number": "360-568-1722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROMMEN",
        "first_name": "IDAR",
        "middle_name": "ERIC",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00020810",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "LA",
            "license": "344523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "080172058",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1027747",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.