Individual provider Active NPI

Robert W Romero, MD

  • Dermatology Physician
  • Lafayette, LA
National Provider Identifier
1285652453
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
011162 Issued in LA
Practice address
4212 W Congress St
Ste 2300
Lafayette, LA 70506-6765
Phone
(337) 981-7546
Fax
(337) 988-2037
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 011162 LA Primary

Addresses

Primary practice location

4212 W Congress St
Ste 2300
Lafayette, LA 70506-6765

Mailing address

PO Box 53709
Lafayette, LA 70505-3709
Phone (337) 981-7546

Other identifiers 1

IdentifierTypeStateIssuer
1159263MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20100115000010 LA Practitioner - Dermatology 2961543434 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Louisiana State University School of Medicine in New Orleans, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lafayette Dermatology, LLCGroup PAC ID 8325298490, 6 clinicians

Practice addresses (Care Compare)

101 Rue Fontaine
BLDG 1
Lafayette, LA 70508-5744
Phone (337) 524-1700

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1315
Removal of nail tissue1-10
Removal or shaving of skin growth110
Skin biopsy16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
011162LAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lafayette Dermatology, LLC Dermatology CurrentSince Nov 1, 2019 Accepting new patients

Locations

101 Rue Fontaine
Bldg 1
Lafayette, LA 70508
Phone (337) 524-1700

Organizations & group practices 1

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206921600000",
    "number": "1285652453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 53709",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705053709",
            "telephone_number": "337-981-7546",
            "fax_number": "337-988-2037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4212 W CONGRESS ST",
            "address_2": "STE 2300",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705066765",
            "telephone_number": "337-981-7546",
            "fax_number": "337-988-2037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMERO",
        "first_name": "ROBERT",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2008-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "LA",
            "license": "011162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1159263",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.