Individual provider Active NPI

Danielle Dominique Romero

  • Physician Assistant
  • Munster, IN
National Provider Identifier
1134830318
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
8135 Calumet Ave
Munster, IN 46321-1701
Phone
(219) 513-2000
NPI assigned
Dec 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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 Primary

Addresses

Primary practice location

8135 Calumet Ave
Munster, IN 46321-1701

Mailing address

40 75TH St
Willowbrook, IL 60527-2325
Phone (630) 581-5372

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230116000404 IL Practitioner - Physician Assistant 2062883846 Reassigns benefits to 1 organization
I20230221002626 IN Practitioner - Physician Assistant 2062883846 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Express Care 4 LLCGroup PAC ID 4284909615, 64 clinicians

Practice addresses (Care Compare)

1009 5TH Ave
Hammond, IN 46320-1004
Phone (219) 473-0722

1923 W Glen Park Ave
Griffith, IN 46319-3703
Phone (219) 922-2535

31 E Sibley St
Suite a
Hammond, IN 46320-1725
Phone (219) 802-8800

5521 W Lincoln Hwy
Suite 1a
Crown Point, IN 46307-1098
Phone (219) 769-1362

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Express Care 4 LLC CurrentSince Jan 13, 2023 Accepting new patients
Midwest Express Care 2, Inc CurrentSince Nov 10, 2022 Accepting new patients
Midwest Express Care 2, Inc CurrentSince Nov 10, 2022 Accepting new patients
Midwest Express Care 4 LLC CurrentSince Jan 13, 2023 Accepting new patients
The Methodist Hospitals, Inc PastSince Dec 13, 2022 Accepting new patients

Locations

40 75th St
Willowbrook, IL 60527
Phone (630) 326-5312

31 Sibley St
Ste A
Hammond, IN 46320
Phone (219) 802-8800

5043 E Lincoln Hwy
Merrillville, IN 46410
Phone (219) 554-3290

Organizations & group practices 7

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": "1670457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1134830318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 75TH ST",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605272325",
            "telephone_number": "630-581-5372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8135 CALUMET AVE",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463211701",
            "telephone_number": "219-513-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMERO",
        "first_name": "DANIELLE",
        "middle_name": "DOMINIQUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-08",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

Verify at the official NPI Registry.