Individual provider Active NPI

Miriam Romero, M.D.

  • Body Imaging Physician
  • Los Angeles, CA
National Provider Identifier
1467588780
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Body Imaging PhysicianTaxonomy code 2085B0100X
License
A95695 Issued in CA
Practice address
1500 San Pablo St FL 2
Los Angeles, CA 90033-5313
Phone
(323) 442-8541
NPI assigned
Feb 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X A95695 CA Primary

Addresses

Primary practice location

1500 San Pablo St FL 2
Los Angeles, CA 90033-5313

Mailing address

PO Box 31309
Los Angeles, CA 90031-0309
Phone (323) 442-8541

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address miriam.romero@direct.usc.edu Direct USC CARE MEDICAL GROUP, INC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX, NJ, NY4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20070330000613 CA Practitioner - Diagnostic Radiology 8628172616 Reassigns benefits to 9 organizations
I20230915001590 TX Practitioner - Diagnostic Radiology 8628172616 Reassigns benefits to 2 organizations
I20231213003356 NJ Practitioner - Diagnostic Radiology 8628172616 Reassigns benefits to 3 organizations
I20231220003806 NY Practitioner - Diagnostic Radiology 8628172616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mskcc Radiology GroupGroup PAC ID 3971494683, 192 clinicians

Practice addresses (Care Compare)

Pasadena, CA 91103
Phone (212) 639-2000

1275 York Ave
New York, NY 10065-6007
Phone (212) 639-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A95695CAMDBody Imaging Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radia California Radiology Medical Group Inc CurrentSince May 1, 2023 Accepting new patients
Usc Care Medical Group, Inc CurrentSince Apr 1, 2009 Accepting new patients
MSK Bergen CurrentSince Nov 4, 2023 Accepting new patients
DHHS PHS Naihs Chinle Comprehensive Health Care Facility CurrentSince Aug 6, 2023 Accepting new patients
Swedish Radia Imaging Center at Edmonds LLC CurrentSince Oct 5, 2022 Accepting new patients
Radia Imaging Center Holdings LLC CurrentSince Oct 5, 2022 Accepting new patients
Mskcc Radiology Group CurrentSince Nov 4, 2023 Accepting new patients
DHHS, PHS, Naihs, Gallup Indian Medical Center CurrentSince Apr 1, 2024 Accepting new patients
Memorial Sloan Kettering Cancer Center at Basking Ridge New Jersey CurrentSince Nov 4, 2023 Accepting new patients
Evergreen Radia LLC CurrentSince Oct 5, 2022 Accepting new patients
South Sound Radiologists Inc P S CurrentSince Oct 5, 2022 Accepting new patients
DHHS,PHS,Naihs, Gallup Indian Medical Center CurrentSince Apr 1, 2024 Accepting new patients
DHHS PHS Naihs Chinle Comprehensive CurrentSince Aug 6, 2023 Accepting new patients
Usc Care Medical Group, Inc CurrentSince Apr 1, 2009 Accepting new patients
Radia Inc P S CurrentSince Oct 5, 2022 Accepting new patients
Redwood Radiology Group Inc CurrentSince Jun 20, 2023 Accepting new patients
MSK Monmouth CurrentSince Nov 4, 2023 Accepting new patients
Usc Imaging Associates Inc Past Accepting new patients
Usc Radiology Associates, Inc Body Imaging Past Accepting new patients
University Advance Bioimaging Associates Past Accepting new patients

Locations

1500 San Pablo St
Fl 2
Los Angeles, CA 90033
Phone (323) 442-8541

1500 San Pablo St
Los Angeles, CA 90033
Phone (323) 443-8500

1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849

15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051

26357 McBean Pkwy
Ste 155
Santa Clarita, CA 91355
Phone (661) 288-5940

121 Sotoyome St
Santa Rosa, CA 95405
Phone (707) 546-3141

121 Sotoyome St
Fl 2
Santa Rosa, CA 95405

136 Mountainview Blvd
Basking Ridge, NJ 07920
Phone (908) 542-3000

480 Red Hill Rd
Middletown, NJ 07748
Phone (908) 542-3007

225 Summit Ave
Montvale, NJ 07645
Phone (908) 542-3336

516 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 722-1326

633 3rd Ave
Fl 4
New York, NY 10017
Phone (646) 227-3764

1275 York Ave
New York, NY 10065
Phone (212) 639-3813

13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700

18100 NE Union Hill Rd
Redmond, WA 98052
Phone (425) 498-2020

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 10

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": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1467588780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31309",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900310309",
            "telephone_number": "323-442-8541",
            "fax_number": "323-442-8755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SAN PABLO ST FL 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900335313",
            "telephone_number": "323-442-8541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMERO",
        "first_name": "MIRIAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "CA",
            "license": "A95695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "miriam.romero@direct.usc.edu",
            "affiliation": "Y",
            "affiliationName": "USC CARE MEDICAL GROUP, INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1500 San Pablo St Fl 2",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900335313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.