Active NPI
Romeo Miraflor Pineda Jr., M.D.
- Addiction Medicine (Family Medicine) Physician
- Olathe, KS
National Provider Identifier
1700920832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Family Medicine) Physician
- License
- 0436606
- Practice address
- 407 S Clairborne Rd Ste 200
Olathe, KS 66062-1744 - Phone
- (913) 839-3139
- Fax
- (913) 839-3190
- NPI assigned
- Feb 20, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | 0436606 | KS | Primary |
| General Practice Physician | 208D00000X | 0436606 | KS |
Addresses
Primary practice location
407 S Clairborne Rd Ste 200
Olathe, KS 66062-1744
Mailing address
407 S Clairborne Rd Ste 200
Olathe, KS 66062-1744
Phone (913) 839-3139
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151208000140 | KS | Practitioner - Addiction Medicine | 4981738556 | Practice locations: Olathe, KS |
Care Compare profile
Medicare Care Compare- Specialty
- Addiction Medicine
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
407 S Clairborne Rd
Suite 200
Olathe, KS 66062-1744
Phone (913) 839-3139
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0436606 | KS | MD | Addiction Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Great Provider Health Services | Past | Accepting new patients | |
| Major Hospital | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/24447/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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.
-
- Primary Care Clinic/Center
- Indianapolis, IN
- NPI 1518394402
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703808000000",
"number": "1700920832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 S CLAIRBORNE RD STE 200",
"city": "OLATHE",
"state": "KS",
"postal_code": "660621744",
"telephone_number": "913-839-3139",
"fax_number": "913-839-3190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 S CLAIRBORNE RD STE 200",
"city": "OLATHE",
"state": "KS",
"postal_code": "660621744",
"telephone_number": "913-839-3139",
"fax_number": "913-839-3190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINEDA",
"first_name": "ROMEO",
"middle_name": "MIRAFLOR",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-20",
"last_updated": "2023-12-29",
"certification_date": "2023-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0401X",
"taxonomy_group": "",
"desc": "Family Medicine, Addiction Medicine",
"state": "KS",
"license": "0436606",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "KS",
"license": "0436606",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olathe, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.