Individual provider Active NPI

Maria Soledad Romero, MD

  • Ophthalmology Physician
  • Baltimore, MD
National Provider Identifier
1174722763
Registry record updated Dec 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
D0074500 Issued in MD
Practice address
711 W 40TH St Ste 301
Baltimore, MD 21211-2109
Phone
(410) 377-2422
NPI assigned
Jul 13, 2007
Last updated
Dec 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X D0074500 MD Primary

Addresses

Primary practice location

711 W 40TH St Ste 301
Baltimore, MD 21211-2109

Mailing address

6629 Charlesway
Towson, MD 21204-6810
Phone (410) 982-7172

Other practice location 1

831 University Blvd E Ste 11
Silver Spring, MD 20903-2921
Phone (301) 431-0431

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20130819000049 MD Practitioner - Ophthalmology 2567610272 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

711 W 40TH St
Suite 301
Baltimore, MD 21211-2109
Phone (410) 377-2422

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery141

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Eye Care Ophthalmology Current Accepting new patients
Precision Eye Care Ophthalmology CurrentSince Oct 1, 2018 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

711 W 40th St
Ste 301
Baltimore, MD 21211
Phone (410) 377-2422

1645 Liberty Rd
Ste 101
Sykesville, MD 21784
Phone (410) 982-7172

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18569/brand/1/csg/1/fhir/r4
  • Direct secure messaging: maria.romero.1@18569.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545004800000",
    "number": "1174722763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6629 CHARLESWAY",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212046810",
            "telephone_number": "410-982-7172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W 40TH ST STE 301",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212112109",
            "telephone_number": "410-377-2422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "831 University Blvd E Ste 11",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209032921",
            "country_code": "US",
            "telephone_number": "301-431-0431",
            "fax_number": "301-431-0470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROMERO",
        "first_name": "MARIA",
        "middle_name": "SOLEDAD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-13",
        "last_updated": "2018-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0074500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.