Individual provider Active NPI

Phoebe C.M. Romero, PA-C

  • Medical Physician Assistant
  • Cromwell, CT
National Provider Identifier
1689819112
Registry record updated May 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
3223 Issued in CT
Practice address
136 Berlin Rd
Cromwell, CT 06416-2627
Phone
(860) 378-8585
Fax
(860) 378-8586
NPI assigned
Dec 12, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1411 TN
Physician Assistant 363A00000X 2011010509 MO
Medical Physician Assistant 363AM0700X 3223 CT Primary

Addresses

Primary practice location

136 Berlin Rd
Cromwell, CT 06416-2627

Mailing address

39 Eastham Bridge Rd
East Hampton, CT 06424-1374
Phone (615) 939-2015

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150116001449 CT Practitioner - Physician Assistant 6103004262 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hartford Healthcare Urgent Care Centers LLCGroup PAC ID 7618242777, 201 clinicians

Practice addresses (Care Compare)

1025 Silas Deane Hwy
Wethersfield, CT 06109-4223
Phone (860) 696-2400

1315 Main St
Suite 3
Willimantic, CT 06226-1931
Phone (860) 576-8771

385 W Main St
Avon, CT 06001-4357
Phone (860) 777-6977

752 Washington St
Middletown, CT 06457-2904
Phone (860) 613-5377

Merit-based Incentive Payment System (MIPS)

Final score
81.78 of 100Reported as group
Quality
85.61
Promoting interoperability
100
Improvement activities
40
Cost
46.45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3223CTMDVision Therapy Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Services, Inc. CurrentSince Jun 28, 2023 Accepting new patients

Locations

500 Albany Ave
Hartford, CT 06120
Phone (860) 249-9625

Interoperability endpoints

  • Direct secure messaging: phoebe.romero@xdr.hhchealthdirect.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1229040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431561600000",
    "number": "1689819112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 EASTHAM BRIDGE RD",
            "city": "EAST HAMPTON",
            "state": "CT",
            "postal_code": "064241374",
            "telephone_number": "615-939-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 BERLIN RD",
            "city": "CROMWELL",
            "state": "CT",
            "postal_code": "064162627",
            "telephone_number": "860-378-8585",
            "fax_number": "860-378-8586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMERO",
        "first_name": "PHOEBE",
        "middle_name": "C.M.",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-12",
        "last_updated": "2015-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "1411",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2011010509",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CT",
            "license": "3223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cromwell, CT

Sources for this page

Verify at the official NPI Registry.