Individual provider Active NPI

Catherine H Romero, M.D.

  • Family Medicine Physician
  • Safford, AZ
National Provider Identifier
1205854304
Registry record updated Aug 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
28480 Issued in AZ
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, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
521494MedicaidAZ
AZ0901510OtherAZBCBS PROVIDER ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 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
I20081006000379 AZ Practitioner - Family PracticePractitioner - Emergency Medicine 6507934437 Reassigns benefits to 1 organization
I20251012000088 TX Practitioner - Family Practice 6507934437 Reassigns benefits to 1 organization

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 PCGroup PAC ID 4981680683, shared by 2 NPIs, 13 clinicians

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

LicenseStateTypeSpecialty
28480AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gila Valley Clinic, PC Family Medicine CurrentSince Aug 1, 2000 Accepting new patients
San Carlos Apache Healthcare Corporation CurrentSince Aug 12, 2025 Accepting new patients
San Carlos Apache Healthcare Corporation CurrentSince Aug 12, 2025 Accepting new patients
Gila Valley Clinic PC CurrentSince Aug 1, 2000 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.

FacilityTypeRoleSince
Gila Valley ClinicSafford, AZ, CCN 033839 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.

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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.