Organization Active NPI

Romanat Clinic, Inc

  • Primary Care Clinic/Center
  • Aurora, CO
National Provider Identifier
1740580562
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
46877 Issued in CO
Legal business name
ROMANAT CLINIC, INC
Practice address
13901 E. Exposition Ave
#230
Aurora, CO 80012-2535
Phone
(303) 364-1422
Fax
(303) 364-1454
NPI assigned
Oct 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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

Authorized official

Name
Haftu Gebrehiwot, M.DNPI 1568664860
Title
Owner-Physician
Phone
(303) 364-1422

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 46877 CO Primary

Addresses

Primary practice location

13901 E. Exposition Ave
#230
Aurora, CO 80012-2535

Mailing address

13901 E. Exposition Ave
#230
Aurora, CO 80012-2535
Phone (303) 364-1422

Other identifiers 1

IdentifierTypeStateIssuer
74970551MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110505000558 CO Part B Supplier - Clinic/Group Practice 2668657768 Receives reassigned benefits from 1 practitioner
Practice locations: Aurora, CO

National Provider Directory

National Provider Directory

Locations

11275 E Mississippi Ave
Ste 2E2
Aurora, CO 80012
Phone (303) 364-1422

13901 E Exposition Ave
Ste 230
Aurora, CO 80012
Phone (303) 364-1422

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1288051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602720000000",
    "number": "1740580562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13901 E. EXPOSITION AVE",
            "address_2": "#230",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800122535",
            "telephone_number": "303-364-1422",
            "fax_number": "303-364-1454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13901 E. EXPOSITION AVE",
            "address_2": "#230",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800122535",
            "telephone_number": "303-364-1422",
            "fax_number": "303-364-1454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROMANAT CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-26",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A",
        "authorized_official_last_name": "GEBREHIWOT",
        "authorized_official_first_name": "HAFTU",
        "authorized_official_title_or_position": "OWNER-PHYSICIAN",
        "authorized_official_telephone_number": "303-364-1422",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CO",
            "license": "46877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "74970551",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.