Individual provider Active NPI

Connor Schromm

  • Emergency Medicine Physician
  • Corpus Christi, TX
National Provider Identifier
1316524010
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
011042 Issued in AZ
Practice address
600 Elizabeth Street 9B/ Gme
Corpus Christi, TX 78404
Phone
(361) 861-1864
NPI assigned
Mar 27, 2021
Last updated
May 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 011042 AZ Primary
Emergency Medicine Physician 207P00000X U5513 TX
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

600 Elizabeth Street 9B/ Gme
Corpus Christi, TX 78404

Mailing address

600 Elizabeth Street 9B/ Gme
Corpus Christi, TX 78404
Phone (361) 861-1864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ2 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
I20231004000855 TX Practitioner - Emergency Medicine 6901250372 Reassigns benefits to 3 organizations
I20240918004325 AZ Practitioner - Emergency Medicine 6901250372 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone (954) 939-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
011042AZMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Nov 27, 2023 Accepting new patients
Emergency Professional Services PC Emergency Medicine Current Accepting new patients
Gulf Coast Emergency Physicians, PLLC Emergency Medicine CurrentSince Oct 14, 2023 Accepting new patients
Texas Emergency Group LLC Emergency Medicine CurrentSince Aug 6, 2023 Accepting new patients
Emergency Professional Services PC Emergency Medicine CurrentSince Jul 12, 2024 Accepting new patients
Emergency Professional Services PC Emergency Medicine CurrentSince Jul 12, 2024 Accepting new patients
Code 3 Emergency Physicians, PA Emergency Medicine PastSince Apr 6, 2021 Accepting new patients

Locations

2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

37000 N Gantzel Rd
San Tan Valley, AZ 85140
Phone (480) 394-4000

2500 E Main St
Alice, TX 78332
Phone (361) 664-4376

1500 E Houston St
Beeville, TX 78102
Phone (361) 354-2000

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

600 Elizabeth St
#9B
Corpus Christi, TX 78404
Phone (361) 861-1861

600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511

2550 N Esplanade St
Cuero, TX 77954
Phone (361) 275-0532

3349 S Highway 181
Kenedy, TX 78119
Phone (830) 583-3401

1602 Avenue Q
Lubbock, TX 79401
Phone (469) 809-6712

Organizations & group practices 7

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 3

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": "1616803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1316524010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 ELIZABETH STREET 9B/ GME",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "78404",
            "telephone_number": "361-861-1864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 ELIZABETH STREET 9B/ GME",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "78404",
            "telephone_number": "361-861-1864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROMM",
        "first_name": "CONNOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-27",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "011042",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "U5513",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.