Martin R Romero, MD

Individual provider Active NPI Emergency Medicine Physician · Williamston, MI

NPI 1528086683 · NPPES record last updated Oct 23, 2008

Key facts

NPI
1528086683
Entity type
Individual (NPI type 1)
Primary specialty
Emergency Medicine Physician 207P00000X
License
081986 (MI)
Practice address
3096 Burkley Rd
Williamston, MI 48895-9065
Phone
(517) 303-9564
Fax
(517) 336-9122
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 9

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20061012000552 MI Practitioner - Emergency Medicine
Practitioner - General Practice
5496751596 Reassigns benefits to 4 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
081986MIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sparrow Ionia Hospital Current Accepting new patients
Eaton Rapids Medical Center Current Accepting new patients
Eaton Rapids Medical Center Current
since Aug 24, 2020
Accepting new patients
Hospitalist Physicians Medical Group of Michigan, PC Emergency Medicine Current Accepting new patients
Eaton Rapids Medical Center Current
since Aug 24, 2020
Accepting new patients
Degara App, PLLC Emergency Medicine Current
since Dec 1, 2010
Accepting new patients
Hospitalist Physicians Medical Group of Michigan, PC Emergency Medicine Current
since Sep 21, 2017
Accepting new patients
Medical Observation Services, PLLC Emergency Medicine Past Accepting new patients
Calhoun County Emergency Physicians PC Emergency Medicine Past Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

1500 S Main St
Eaton Rapids, MI 48827
Phone (517) 663-2671

3565 S State Rd
Ionia, MI 48846
Phone (616) 523-1355

550 E Washington St
Ionia, MI 48846
Phone (616) 523-1600

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

401 W Greenlawn Ave
Lansing, MI 48910
Phone (517) 334-2286

50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300

805 S Oakland St
Saint Johns, MI 48879
Phone (989) 224-6881

1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 081986 MI Yes

Addresses

Primary practice location

3096 Burkley Rd
Williamston, MI 48895-9065

Mailing address

3096 Burkley Rd
Williamston, MI 48895
Phone (517) 303-9564

Other identifiers

IdentifierTypeStateIssuer
P00380133OtherMIRAILROAD MEDICARE
200000002727OtherMIPHP & PHPFC
4890832MedicaidMI
0103313092OtherMIBLUE CROSS BLUE SHIELD

Other providers in Williamston, MI

All providers in Williamston, MI · Emergency Medicine Physician in Michigan

Sources for this page

Verify at the official NPI Registry.