Active NPI
Kevin Matthew Tirado Roman
- Certified Registered Nurse Anesthetist
- Durham, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 124099
- Practice address
- 2301 Edwin Rd
Durham, NC 27710-0001 - Phone
- (919) 684-8111
- NPI assigned
- Sep 18, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 124099 | NC | Primary |
Addresses
Primary practice location
2301 Edwin Rd
Durham, NC 27710-0001
Mailing address
504 E Pettigrew St Apt 249
Durham, NC 27701-4467
Other practice location 1
1010 College St
Oxford, NC 27565-2507
Phone (919) 690-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1001 W Williams St
Suite 103
Apex, NC 27502-3978
Phone (919) 439-7867
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 124099 | NC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nash Hospitals Inc | Current | Accepting new patients | |
| Granville Health System | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Duke University Health System, Inc. | Current | Accepting new patients | |
| Duke University Health System, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Granville Health System | Current | Accepting new patients | |
| East Carolina Anesthesia Associates, PLLC | Anesthesiology | Current | Accepting new patients |
| Duke University Health System, Inc. | Current | Accepting new patients | |
| Raleigh Medical Group, PA | Current | Accepting new patients | |
| Nash Hospitals Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
1001 W Williams St
Ste 103
Apex, NC 27502
Phone (919) 363-2111
2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289
3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186
2430 Emerald Pl
Ste 103
Greenville, NC 27834
Phone (252) 752-2140
1010 College St
Oxford, NC 27565
Phone (919) 623-5115
3521 Haworth Dr
Raleigh, NC 27609
Phone (919) 782-1806
2601 Lake Dr
Ste 201
Raleigh, NC 27607
Phone (919) 783-4888
2460 Curtis Ellis Dr
Rocky Mount, NC 27804
Phone (252) 443-8199
Organizations & group practices 9
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.
-
- Anesthesiology Physician
- Greenville, NC
- NPI 1205996519
-
- Certified Registered Nurse Anesthetist
- Durham, NC
- NPI 1558392977
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Oxford, NC
- NPI 1275638512
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Rocky Mount, NC
- NPI 1003881822
Nurse Anesthetist, Certified Registered
-
- Parenteral & Enteral Nutrition Supplies (DME)
- Durham, NC
- NPI 1427187525
-
- Social Worker
- Durham, NC
- NPI 1497912232
-
- Diagnostic Radiology Physician
- Oxford, NC
- NPI 1104683341
-
- Land Ambulance
- Rocky Mount, NC
- NPI 1275374290
-
- Internal Medicine Physician
- Raleigh, NC
- NPI 1104962315
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Raleigh, NC
- NPI 1780446302
-
- General Acute Care Hospital
- Raleigh, NC
- NPI 1972579837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729296000000",
"number": "1710461694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "504 E PETTIGREW ST APT 249",
"city": "DURHAM",
"state": "NC",
"postal_code": "277014467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 EDWIN RD",
"city": "DURHAM",
"state": "NC",
"postal_code": "277100001",
"telephone_number": "919-684-8111"
}
],
"practiceLocations": [
{
"address_1": "1010 College St",
"address_purpose": "LOCATION",
"city": "Oxford",
"state": "NC",
"postal_code": "275652507",
"country_code": "US",
"telephone_number": "919-690-3000",
"fax_number": "919-690-3213",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TIRADO ROMAN",
"first_name": "KEVIN",
"middle_name": "MATTHEW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-18",
"last_updated": "2024-10-19",
"certification_date": "2024-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "124099",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.