Individual provider Active NPI

Gary T Roome, MD

  • Family Medicine Physician
  • Burton, MI
National Provider Identifier
1376534396
Registry record updated Jan 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301045407 Issued in MI
Practice address
G-3375 S. Saginaw St.
Burton, MI 48529
Phone
(810) 743-6830
Fax
(810) 743-7086
NPI assigned
Oct 31, 2005
Last updated
Jan 8, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2021

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 4301045407 MI Primary

Addresses

Primary practice location

G-3375 S. Saginaw St.
Burton, MI 48529

Mailing address

225 E 5TH St
Suite 300
Flint, MI 48502-1641
Phone (810) 406-4246

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
I20070321000499 MI Practitioner - Family Practice 8921101486 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wayne State University School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2900 N Saginaw St
Flint, MI 48505-4452
Phone (810) 789-9141

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301045407MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton Community Health Network Inc. CurrentSince Feb 26, 2007 Accepting new patients
Hamilton Community Health Network, Inc. CurrentSince Feb 26, 2007 Accepting new patients

Locations

G3373 S Saginaw St
Burton, MI 48529
Phone (810) 406-4040

225 E 5th St
Ste 300
Flint, MI 48502
Phone (810) 406-4912

2900 N Saginaw St
Flint, MI 48505
Phone (810) 789-9141

G3375 S Saginaw St
Flint, MI 48529
Phone (810) 743-6830

Interoperability endpoints

  • Direct secure messaging: gary.roome.1@25862.direct.athenahealth.com

Organizations & group practices 2

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 1

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": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610064000000",
    "number": "1376534396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E 5TH ST",
            "address_2": "SUITE 300",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485021641",
            "telephone_number": "810-406-4246",
            "fax_number": "810-424-6029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G-3375 S. SAGINAW ST.",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "48529",
            "telephone_number": "810-743-6830",
            "fax_number": "810-743-7086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROOME",
        "first_name": "GARY",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301045407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burton, MI

Sources for this page

Verify at the official NPI Registry.