Individual provider Active NPI

Sue Romanick, MD

  • Rheumatology Physician
  • Bellevue, WA
National Provider Identifier
1558476960
Registry record updated Apr 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
MD00028590 Issued in WA
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

Updated by the provider on Apr 29, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
91-2051818OtherWACOMMERCIAL
1113166MedicaidWA
151480OtherWALABOR & INDUSTRY
RO3836OtherWABLUE SHIELD REGENCE

Other names 1

  • Sue Romanick Schmiedl Other name

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

LicenseStateTypeSpecialty
MD00028590WAMDInternal 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.

Verify at the official NPI Registry.