Active NPI
Catherine H Romero, M.D.
- Family Medicine Physician
- Safford, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 28480
- Practice address
- 1680 S 20TH Ave
Safford, AZ 85546-4011 - Phone
- (928) 428-1377
- Fax
- (928) 348-8570
- NPI assigned
- Jul 17, 2006
- Last updated
- Aug 31, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 28480 | AZ | Primary |
Addresses
Primary practice location
1680 S 20TH Ave
Safford, AZ 85546-4011
Mailing address
1680 S 20TH Ave
Safford, AZ 85546-4011
Phone (928) 428-1377
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 521494 | Medicaid | AZ | |
| AZ0901510 | Other | AZ | BCBS PROVIDER ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, TX
- 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
- University of Arizona College of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Gila Valley Clinic PC
Practice addresses (Care Compare)
103 Medicine Way Rd
Peridot, AZ 85542-0787
Phone (928) 475-1400
1680 S 20TH Ave
Safford, AZ 85546-4011
Phone (928) 428-1377
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28480 | AZ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gila Valley Clinic, PC | Family Medicine | Current | Accepting new patients |
| San Carlos Apache Healthcare Corporation | Current | Accepting new patients | |
| San Carlos Apache Healthcare Corporation | Current | Accepting new patients | |
| Gila Valley Clinic PC | Current | Accepting new patients |
Locations
103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200
1680 S 20th Ave
Safford, AZ 85546
Phone (928) 428-1377
2016 W 16th St
Safford, AZ 85546
Phone (520) 428-1377
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Gila Valley Clinic | Rural health clinic | 5% Or Greater Direct Ownership Interest (20%) Corporate Officer Corporate Director W-2 Managing Employee |
Aug 21, 2000 Aug 21, 2000 Aug 21, 2000 Aug 21, 2000 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Gila Valley Clinic
- Rural Health Clinic/Center
- Safford, AZ
- NPI 1740767664
5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Critical Access Hospital Clinic/Center
- Peridot, AZ
- NPI 1265813075
TX
-
- Family Medicine Physician
- Safford, AZ
- NPI 1255510228
-
dba Clarence Wesley Health Center
- Clinic/Center
- Bylas, AZ
- NPI 1417330713
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Safford, AZ
- NPI 1275588345
-
- Critical Access Hospital
- Willcox, AZ
- NPI 1013060367
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314748800000",
"number": "1205854304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1680 S 20TH AVE",
"city": "SAFFORD",
"state": "AZ",
"postal_code": "855464011",
"telephone_number": "928-428-1377",
"fax_number": "928-348-8570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1680 S 20TH AVE",
"city": "SAFFORD",
"state": "AZ",
"postal_code": "855464011",
"telephone_number": "928-428-1377",
"fax_number": "928-348-8570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMERO",
"first_name": "CATHERINE",
"middle_name": "H",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-17",
"last_updated": "2011-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "28480",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "521494",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER ID",
"identifier": "AZ0901510",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Safford, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.