Individual provider Active NPI

Martin R Romero, MD

  • Emergency Medicine Physician
  • Williamston, MI
National Provider Identifier
1528086683
Registry record updated Oct 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
081986 Issued in MI
Practice address
3096 Burkley Rd
Williamston, MI 48895-9065
Phone
(517) 303-9564
Fax
(517) 336-9122
NPI assigned
Jul 17, 2006
Last updated
Oct 23, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2008

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

Specialties & licenses 1

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

Addresses

Primary practice location

3096 Burkley Rd
Williamston, MI 48895-9065

Mailing address

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

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
I20061012000552 MI Practitioner - Emergency MedicinePractitioner - General Practice 5496751596 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
081986MIMDEmergency Medicine Physician

Practice roles

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224720000000",
    "number": "1528086683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3096 BURKLEY RD",
            "city": "WILLIAMSTON",
            "state": "MI",
            "postal_code": "48895",
            "telephone_number": "517-303-9564",
            "fax_number": "517-336-9122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3096 BURKLEY RD",
            "city": "WILLIAMSTON",
            "state": "MI",
            "postal_code": "488959065",
            "telephone_number": "517-303-9564",
            "fax_number": "517-336-9122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMERO",
        "first_name": "MARTIN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2008-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "081986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamston, MI

Sources for this page

Verify at the official NPI Registry.