Individual provider Active NPI

Romulo V Vasquez, MD

  • Family Medicine Physician
  • Stamford, CT
National Provider Identifier
1164867347
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
53485 Issued in CT
Practice address
170 Washington Blvd
Stamford, CT 06902-8904
Phone
(203) 276-2472
Fax
(203) 276-4594
NPI assigned
May 1, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Emergency Medicine) Physician 207PS0010X 53485 CT
Family Medicine Physician 207Q00000X 272256 NY
Sports Medicine (Family Medicine) Physician 207QS0010X 272256 NY
Family Medicine Physician 207Q00000X 53485 CT Primary

Addresses

Primary practice location

170 Washington Blvd
Stamford, CT 06902-8904

Mailing address

170 Washington Blvd
Stamford, CT 06902-8904
Phone (203) 276-2472

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 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
I20140304001902 NY Practitioner - Family Practice 1254561640 Reassigns benefits to 2 organizations
I20141218001703 CT Practitioner - Family PracticePractitioner - Sports Medicine 1254561640 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sun River Health Inc.Group PAC ID 6608783568, 246 clinicians
Stamford Health Medical Group IncGroup PAC ID 6901099746, 442 clinicians

Practice addresses (Care Compare)

1037 Main St
Peekskill, NY 10566-2913
Phone (914) 734-8800

1200 Brown St
Peekskill, NY 10566-2913

170 Washington Blvd
Stamford, CT 06902-8904
Phone (203) 276-2472

3360 Route 343
Amenia, NY 12501-5619
Phone (845) 838-7038

Hospital & facility affiliations

  • Stamford Hospital Hospital, Stamford, CT, CCN 070006

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
272256NYMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sports Medicine Specialist P.C. Sports Medicine Current Accepting new patients
Sun River Health Inc Current Accepting new patients
United Health Services Hospitals, Inc. CurrentSince Jan 13, 2014 Accepting new patients
Stamford Health Medical Group Inc Family Medicine CurrentSince May 28, 2024 Accepting new patients

Locations

170 Washington Blvd
Stamford, CT 06902
Phone (203) 276-2472

5 High Ridge Park
Ste 103
Stamford, CT 06905
Phone (203) 276-4644

3360 Route 343
Amenia, NY 12501
Phone (845) 373-9006

91 Chenango Bridge Rd
Binghamton, NY 13901
Phone (607) 648-4151

33-57 Harrison St
Johnson City, NY 13790
Phone (607) 763-6412

4417 Vestal Pkwy E
Vestal, NY 13850
Phone (607) 729-2144

Interoperability endpoints

  • Direct secure messaging: rvasquez25111@stamfordhealth.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/ABCIBA

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.

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": "1367366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1164867347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 WASHINGTON BLVD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069028904",
            "telephone_number": "203-276-2472",
            "fax_number": "203-276-4594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 WASHINGTON BLVD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069028904",
            "telephone_number": "203-276-2472",
            "fax_number": "203-276-4594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASQUEZ",
        "first_name": "ROMULO",
        "middle_name": "V",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-01",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PS0010X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Sports Medicine",
            "state": "CT",
            "license": "53485",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "272256",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NY",
            "license": "272256",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "53485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.