Active NPI
Raul D Romero, M.D.
- Internal Medicine Physician
- Phoenix, AZ
National Provider Identifier
1407938681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 17336
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 276792 | Medicaid | AZ | |
| AZ0854030 | Other | AZ | BLUE 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 17336 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Raul Romero, MD | Internal Medicine | Current | 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.
-
- Internal Medicine Physician
- Phoenix, AZ
- NPI 1063738524
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.