Active NPI
Sue Romanick, MD
- Rheumatology Physician
- Bellevue, WA
National Provider Identifier
1558476960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- MD00028590
- Practice address
- 11522 NE 20TH St
Bellevue, WA 98004-3005 - Phone
- (425) 462-2531
- Fax
- (425) 454-6176
- NPI assigned
- Aug 19, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD00028590 | WA | |
| Rheumatology Physician | 207RR0500X | MD00028590 | WA | Primary |
Addresses
Primary practice location
11522 NE 20TH St
Bellevue, WA 98004-3005
Mailing address
11522 NE 20TH St
Bellevue, WA 98004-3005
Phone (425) 462-2531
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 91-2051818 | Other | WA | COMMERCIAL |
| 1113166 | Medicaid | WA | |
| 151480 | Other | WA | LABOR & INDUSTRY |
| RO3836 | Other | WA | BLUE SHIELD REGENCE |
Other names 1
- Sue Romanick Schmiedl
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00028590 | WA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367193600000",
"number": "1558476960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11522 NE 20TH ST",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980043005",
"telephone_number": "425-462-2531",
"fax_number": "425-454-6176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11522 NE 20TH ST",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980043005",
"telephone_number": "425-462-2531",
"fax_number": "425-454-6176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMANICK",
"first_name": "SUE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-19",
"last_updated": "2013-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD00028590",
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "WA",
"license": "MD00028590",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL",
"identifier": "91-2051818",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1113166",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRY",
"identifier": "151480",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD REGENCE",
"identifier": "RO3836",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SUE",
"last_name": "ROMANICK SCHMIEDL",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.