Individual provider Active NPI

Michael Romis, CNP

  • Nurse Practitioner
  • Beachwood, OH
National Provider Identifier
1699317826
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.025747 Issued in OH
Practice address
23214 Ranch Rd
Beachwood, OH 44122-1565
Phone
(216) 356-6550
NPI assigned
Oct 9, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP.025747 OH Primary

Addresses

Primary practice location

23214 Ranch Rd
Beachwood, OH 44122-1565

Mailing address

PO Box 1086
Willoughby, OH 44096-1086
Phone (216) 645-7242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20191217002334 OH Practitioner - Nurse Practitioner 0648604025 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleveland Surgical Associates, Inc.Group PAC ID 3577566371, 26 clinicians
Encore Clinical Services LLCGroup PAC ID 5991177313, 49 clinicians

Practice addresses (Care Compare)

12301 Ridge Rd
North Royalton, OH 44133-3744
Phone (440) 652-8748

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cleveland Surgical Associates, Inc. Nurse Practitioner CurrentSince Aug 1, 2021 Accepting new patients
Lake Effect Health Nurse Practitioner Current Accepting new patients
Encore Clinical Services LLC Nurse Practitioner CurrentSince Nov 11, 2024 Accepting new patients
Primus Wound Care Inc PastSince Aug 28, 2021 Accepting new patients

Locations

12301 Ridge Rd
North Royalton, OH 44133
Phone (216) 331-6750

Organizations & group practices 4

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": "1570579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1699317826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1086",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440961086",
            "telephone_number": "216-645-7242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23214 RANCH RD",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441221565",
            "telephone_number": "216-356-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMIS",
        "first_name": "MICHAEL",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-09",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.025747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.