Individual provider Active NPI

Sergio David Chacin Romero, M.D.

  • Pain Medicine Physician
  • Coral Springs, FL
National Provider Identifier
1770710840
Registry record updated Apr 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
ME119606 Issued in FL
Practice address
8130 Royal Palm Blvd Ste 100
Coral Springs, FL 33065-5703
Phone
(954) 999-4899
NPI assigned
Jun 16, 2009
Last updated
Apr 26, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X MD437104 PA
Physical Medicine & Rehabilitation Physician 208100000X 263028-1 NY
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 2013-01080 NC
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X ME119606 FL
Pain Medicine Physician 208VP0000X ME119606 FL Primary

Addresses

Primary practice location

8130 Royal Palm Blvd Ste 100
Coral Springs, FL 33065-5703

Mailing address

PO Box 430885
South Miami, FL 33243-0885
Phone (786) 456-4107

Other identifiers 1

IdentifierTypeStateIssuer
102371477MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141118001091 FL Practitioner - Interventional Pain ManagementPractitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 0446305692 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Physical Medicine and Rehabilitation
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Consultants in Neurological Surgery LLPGroup PAC ID 8325114986, 6 clinicians

Practice addresses (Care Compare)

1040 Weston Rd
Suite 215
Weston, FL 33326-1912
Phone (786) 456-4107

14601 SW 29TH St
Suite 209
Miramar, FL 33027-4715
Phone (786) 456-4107

2801 N St Rd
Suite 7
Margate, FL 33063-5727
Phone (954) 974-0400

8130 Royal Palm Blvd
Suite 100
Coral Springs, FL 33065-5703
Phone (954) 999-4899

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
263028-1NYMDPhysical Medicine & Rehabilitation Physician
ME119606FLMDPain Medicine (Physical Medicine & Rehabilitation) Physician
2013-01080NCMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Consultants in Neurological Surgery LLP CurrentSince Sep 15, 2020 Accepting new patients

Locations

8130 Royal Palm Blvd
Ste 100
Coral Springs, FL 33065
Phone (954) 341-3538

2801 N State Road 7
Margate, FL 33063
Phone (954) 683-7041

14601 SW 29th St
Ste 209
Miramar, FL 33027
Phone (954) 436-8036

1040 Weston Rd
Ste 215
Weston, FL 33326
Phone (954) 384-1800

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619395200000",
    "number": "1770710840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 430885",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "332430885",
            "telephone_number": "786-456-4107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8130 ROYAL PALM BLVD STE 100",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330655703",
            "telephone_number": "954-999-4899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHACIN ROMERO",
        "first_name": "SERGIO",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-16",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "MD437104",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "263028-1",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NC",
            "license": "2013-01080",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "FL",
            "license": "ME119606",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "FL",
            "license": "ME119606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102371477",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.