NPIMap

Individual provider Active NPI

Quentin D Romero, M.D.

  • Internal Medicine Physician
  • Jennings, LA
National Provider Identifier
1740291921
Registry record updated Jul 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
200859 Issued in LA
Practice address
1615 Johnson St
Suite B
Jennings, LA 70546-3650
Phone
(337) 246-3556
Fax
(337) 246-3559
NPI assigned
Aug 11, 2006
Last updated
Jul 19, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 200859 LA Primary

Addresses

Primary practice location

1615 Johnson St
Suite B
Jennings, LA 70546-3650

Mailing address

1615 Johnson St
Suite B
Jennings, LA 70546-3650
Phone (337) 246-3556

Other identifiers 1

IdentifierTypeStateIssuer
1066168MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061201000049 LA Practitioner - Internal MedicinePractitioner - Emergency Medicine 2163420092 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ambassador Physician Services LLCGroup PAC ID 7810099090, 14 clinicians

Practice addresses (Care Compare)

2810 Ambassador Caffery Pkwy
Lafayette, LA 70506-5906

4600 Ambassador Caffery Pkwy
Lafayette, LA 70508-6902
Phone (337) 521-9103

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ambassador Physician Services LLC CurrentSince Sep 1, 2014 Accepting new patients
Coolidge Physician Services LLC CurrentSince Apr 26, 2015 Accepting new patients
Acadiana Ambulatory Health Care Services, Inc. Past Accepting new patients
Lafayette General Medical Center Inc Past Accepting new patients
LHCG XII, LLC Past Accepting new patients

Locations

1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191

4600 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 371-3135

Interoperability endpoints

  • Direct secure messaging: qromero508733@direct.ochsner.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342656000000",
    "number": "1740291921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 JOHNSON ST",
            "address_2": "SUITE B",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705463650",
            "telephone_number": "337-246-3556",
            "fax_number": "337-246-3559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 JOHNSON ST",
            "address_2": "SUITE B",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705463650",
            "telephone_number": "337-246-3556",
            "fax_number": "337-246-3559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMERO",
        "first_name": "QUENTIN",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2012-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "200859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1066168",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jennings, LA

Sources for this page

Verify at the official NPI Registry.