Individual provider Active NPI

Vivian Carolina Romero Romero, M.D.

  • Obstetrics & Gynecology Physician
  • Grand Rapids, MI
National Provider Identifier
1245432368
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301086388 Issued in MI
Practice address
25 Michigan St NE
Suite 5200
Grand Rapids, MI 49503-2515
Phone
(616) 391-3681
Fax
(616) 391-8670
NPI assigned
Jun 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 4301086388 MI Primary

Addresses

Primary practice location

25 Michigan St NE
Suite 5200
Grand Rapids, MI 49503-2515

Mailing address

100 Michigan St NE
MC 845
Grand Rapids, MI 49503-2560
Phone (616) 486-6790

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Vivian.Romero@epic00.shdirect.org
FHIR URL https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20120911000619 MI Practitioner - Obstetrics/Gynecology 7719135011 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 Michigan Ave NE
Grand Rapids, MI 49503-2560

100 Michigan St NE RM
280 Corewell Health Medical Group West
Grand Rapids, MI 49503-2560
Phone (616) 267-0115

25 Michigan St NE
Corewell Health Medical Group West
Grand Rapids, MI 49503-2515
Phone (616) 267-8950

4444 Kalamazoo Ave SE
200 Corewell Health Medical Group West
Kentwood, MI 49508-4600
Phone (616) 391-5600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301086388MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Munson Medical Center Obstetrics & Gynecology CurrentSince Aug 1, 2016 Accepting new patients
Memorial Medical Center of West Michigan CurrentSince Mar 20, 2023 Accepting new patients
Metropolitan Hospital CurrentSince Feb 1, 2016 Accepting new patients
Munson Medical Center Current Accepting new patients
Spectrum Health Primary Care Partners CurrentSince Aug 5, 2012 Accepting new patients
Spectrum Health Hospitals Obstetrics & Gynecology CurrentSince Jul 1, 2016 Accepting new patients
Metropolitan Hospital Obstetrics & Gynecology CurrentSince Feb 1, 2016 Accepting new patients
Memorial Medical Center of West Michigan CurrentSince Mar 20, 2023 Accepting new patients
Spectrum Health Primary Care Partners Obstetrics & Gynecology CurrentSince Aug 5, 2012 Accepting new patients
Munson Medical Center CurrentSince Aug 1, 2016 Accepting new patients
Spectrum Health Hospitals CurrentSince Jul 1, 2016 Accepting new patients

Locations

2513 Momentum Pl
Chicago, IL 60689
Phone (231) 935-8031

7985 S Mackinaw Trl
Ste 201
Cadillac, MI 49601
Phone (231) 779-5277

80 68th St SE
Ste 301
Grand Rapids, MI 49548
Phone (616) 391-3302

100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242

25 Michigan St NE
Ste 5100
Grand Rapids, MI 49503
Phone (616) 267-0800

25 Michigan St NE
Ste 5200
Grand Rapids, MI 49503
Phone (616) 391-3681

426 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 267-7888

100 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 391-1680

221 Michigan St NE
Ste 600
Grand Rapids, MI 49503
Phone (616) 774-7035

330 Barclay Ave NE
Ste 304
Grand Rapids, MI 49503
Phone (616) 391-2160

4249 Parkway Place Dr SW
Ste C
Grandville, MI 49418
Phone (616) 774-7035

1202 W Oak St
Greenville, MI 48838
Phone (616) 754-2944

1005 W Green St
Ste 202
Hastings, MI 49058
Phone (269) 948-0078

588 E Lakewood Blvd
Fl 1
Holland, MI 49424
Phone (616) 494-5800

4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600

3220 Discovery Dr
Ste 210
Lansing, MI 48910
Phone (517) 484-0004

7 Atkinson Dr
Ste 200
Ludington, MI 49431
Phone (231) 843-2664

1 Atkinson Dr
Ludington, MI 49431
Phone (231) 843-2591

3950 Hollywood Rd
Ste 240
Saint Joseph, MI 49085
Phone (269) 408-1852

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

781 36th St SE
Wyoming, MI 49548
Phone (616) 252-4100

Interoperability endpoints

  • Direct secure messaging: vivian.romero@epic00.shdirect.org
  • Direct secure messaging: vromeroromero59960@epic00.corewelldirect.org

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1245432368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE",
            "address_2": "MC 845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560",
            "telephone_number": "616-486-6790",
            "fax_number": "616-486-6702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MICHIGAN ST NE",
            "address_2": "SUITE 5200",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032515",
            "telephone_number": "616-391-3681",
            "fax_number": "616-391-8670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMERO ROMERO",
        "first_name": "VIVIAN",
        "middle_name": "CAROLINA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-01",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301086388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Vivian.Romero@epic00.shdirect.org",
            "affiliation": "N",
            "address_1": "25 Michigan St NE",
            "address_2": "Suite 5200",
            "city": "Grand Rapids",
            "state": "MI",
            "country_code": "US",
            "postal_code": "495032515",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "25 Michigan St NE",
            "address_2": "Suite 5200",
            "city": "Grand Rapids",
            "state": "MI",
            "country_code": "US",
            "postal_code": "495032515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.