Active NPI
Gregory Romaniuk
- Family Medicine Physician
- Nampa, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- M-165550
- Practice address
- 9850 W St Lukes Dr
Nampa, ID 83687-7912 - Phone
- (208) 205-7282
- NPI assigned
- Jul 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | TP818 | KY | |
| Family Medicine Physician | 207Q00000X | LL29132 | SC | |
| Family Medicine Physician | 207Q00000X | ME104586 | FL | |
| Family Medicine Physician | 207Q00000X | M-165550 | ID | Primary |
Addresses
Primary practice location
9850 W St Lukes Dr
Nampa, ID 83687-7912
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Other practice location 1
9911 Corkscrew Rd Ste 200
Estero, FL 33928-3323
Phone (239) 237-5500
Other practice location 2
13691 Metro Pkwy Ste 400
Fort Myers, FL 33912-4349
Phone (239) 440-6456
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001196700 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
520 S Eagle Rd
Meridian, ID 83642-6351
608 W Hays St
Boise, ID 83702-5511
Phone (208) 381-5970
610 W Hays St
Boise, ID 83702-5511
Phone (208) 381-5970
9580 W St Lukes Dr
Nampa, ID 83687-7912
Phone (208) 505-2711
9850 St Lukes Dr
Nampa, ID 83687-7912
9850 W St Luke'S Dr
Nampa, ID 83687-7912
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.3 of 100
- Quality
- 81.29
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.37
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME104586 | FL | MD | Family Medicine Physician |
| M-165550 | ID | MD | Family Medicine Physician |
| LL29132 | SC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Lukes Clinic-Treasure Valley LLC | Family Medicine | Current | Accepting new patients |
| Cape Coral Hospitalists Inc | Current | Accepting new patients | |
| St Lukes Clinic-Treasure Valley LLC | Family Medicine | Current | Accepting new patients |
| Hni Medical Services of Florida, LLC | Family Medicine | Current | Accepting new patients |
Locations
636 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 332-5344
13681 Doctors Way
Rm 18027
Fort Myers, FL 33912
Phone (239) 210-4247
13881 Eagle Ridge Dr
Fort Myers, FL 33912
Phone (239) 495-4000
13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000
1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414
4201 Belfort Rd
Jacksonville, FL 32216
Phone (904) 268-5561
350 7th St N
Naples, FL 34102
Phone (239) 436-5000
610 W Hays St
Boise, ID 83702
Phone (208) 345-3530
190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378
9850 W St Lukes Dr
Nampa, ID 83687
Phone (208) 205-7282
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Boise, ID
- NPI 1326336058
-
- Internal Medicine Physician
- Fort Myers, FL
- NPI 1336209790
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1679048284
Family Medicine
-
- Family Medicine Physician
- Mountain Home, ID
- NPI 1417297821
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boise, ID
- NPI 1770586794
-
- General Acute Care Hospital
- Nampa, ID
- NPI 1831590660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652054400000",
"number": "1144246729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "190 E BANNOCK ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837126241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9850 W ST LUKES DR",
"city": "NAMPA",
"state": "ID",
"postal_code": "836877912",
"telephone_number": "208-205-7282"
}
],
"practiceLocations": [
{
"address_1": "9911 Corkscrew Rd Ste 200",
"address_purpose": "LOCATION",
"city": "Estero",
"state": "FL",
"postal_code": "339283323",
"country_code": "US",
"telephone_number": "239-237-5500",
"fax_number": "888-828-5797",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13691 Metro Pkwy Ste 400",
"address_purpose": "LOCATION",
"city": "Fort Myers",
"state": "FL",
"postal_code": "339124349",
"country_code": "US",
"telephone_number": "239-440-6456",
"fax_number": "239-236-0337",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROMANIUK",
"first_name": "GREGORY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-15",
"last_updated": "2022-05-09",
"certification_date": "2022-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "TP818",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "LL29132",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME104586",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ID",
"license": "M-165550",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001196700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nampa, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.