Individual provider Active NPI

Raul D Romero, M.D.

  • Internal Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1407938681
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
17336 Issued in AZ
Practice address
26 E Baseline Rd Ste 121
Phoenix, AZ 85042-6541
Phone
(602) 243-3455
Fax
(602) 243-3404
NPI assigned
Oct 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 17336 AZ Primary

Addresses

Primary practice location

26 E Baseline Rd Ste 121
Phoenix, AZ 85042-6541

Mailing address

26 E Baseline Rd Ste 121
Phoenix, AZ 85042-6541
Phone (602) 243-3455

Other identifiers 2

IdentifierTypeStateIssuer
276792MedicaidAZ
AZ0854030OtherAZBLUE CROSS ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20051107000402 AZ Practitioner - Internal Medicine 7416975628 Practice locations: Phoenix, AZ

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

26 E Baseline Rd
Phoenix, AZ 85042-6541
Phone (602) 243-3455

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17336AZMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Raul Romero, MD Internal Medicine CurrentSince Jan 1, 1990 Accepting new patients

Locations

303 E Baseline Rd
Ste 302
Phoenix, AZ 85042
Phone (602) 243-3455

26 E Baseline Rd
Ste 121
Phoenix, AZ 85042
Phone (602) 243-3455

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": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1407938681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 E BASELINE RD STE 121",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850426541",
            "telephone_number": "602-243-3455",
            "fax_number": "602-243-3404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 E BASELINE RD STE 121",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850426541",
            "telephone_number": "602-243-3455",
            "fax_number": "602-243-3404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMERO",
        "first_name": "RAUL",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "17336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "276792",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS ID",
            "identifier": "AZ0854030",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.