Individual provider Active NPI

Peter Michael Romines, D.P.M.

  • Podiatrist
  • Citrus Heights, CA
National Provider Identifier
1639241706
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
0E2863 Issued in CA
Practice address
5561 Sequoia Cir
Citrus Heights, CA 95610-7936
Phone
(916) 743-4592
Fax
(209) 474-0430
NPI assigned
Nov 14, 2006
Last updated
May 2, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 0E2863 CA Primary

Addresses

Primary practice location

5561 Sequoia Cir
Citrus Heights, CA 95610-7936

Mailing address

425 W Bonita Ave Ste 110
San Dimas, CA 91773-2543
Phone (916) 743-4592

Other identifiers 1

IdentifierTypeStateIssuer
000E28630MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111214000806 CA Practitioner - Podiatry 3072788314 Practice locations: Stockton, CA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1755 W Hammer LN
Suite 7B
Stockton, CA 95209-2900
Phone (209) 474-8020

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue4008
Removal or shaving of skin growth28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0E2863CAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Karen Romines Podiatry Incorporated Podiatrist PastSince May 7, 2023 Accepting new patients

Organizations & group practices 1

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": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1639241706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W BONITA AVE STE 110",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917732543",
            "telephone_number": "916-743-4592",
            "fax_number": "209-474-0430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5561 SEQUOIA CIR",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956107936",
            "telephone_number": "916-743-4592",
            "fax_number": "209-474-0430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMINES",
        "first_name": "PETER",
        "middle_name": "MICHAEL",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "0E2863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E28630",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Citrus Heights, CA

Sources for this page

Verify at the official NPI Registry.