Individual provider Active NPI

Melissa Romero, M.D.

  • Family Medicine Physician
  • Glendale, AZ
National Provider Identifier
1811333693
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
52853 Issued in AZ
Practice address
6052 N 59TH Ave
Glendale, AZ 85301-7709
Phone
(480) 618-0176
NPI assigned
May 20, 2013
Last updated
Jun 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 52853 AZ Primary

Addresses

Primary practice location

6052 N 59TH Ave
Glendale, AZ 85301-7709

Mailing address

PO Box 746093
Atlanta, GA 30374-6093
Phone (312) 733-9730

Other practice location 1

3137 W Indian School Rd
Phoenix, AZ 85017-4069
Phone (602) 325-5570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20160823003150 AZ Practitioner - Family Practice 7911227137 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Vermont College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Street Health Physicians Group of Arizona PLLCGroup PAC ID 3274939988, 76 clinicians

Practice addresses (Care Compare)

183 W Apache TRL
Suite B109
Apache Junction, AZ 85120-3425
Phone (480) 618-0945

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
52853AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health Physicians Group of Arizona PLLC Family Medicine CurrentSince Jan 3, 2022 Accepting new patients
District Medical Group, Inc Current Accepting new patients
District Medical Group, Inc CurrentSince Sep 15, 2016 Accepting new patients
District Medical Group, Inc Family Medicine Past Accepting new patients
Iora Health, LLC Past Accepting new patients
Iora Health Massachusetts, P.C. Past Accepting new patients

Locations

183 W Apache Trl
Ste B109
Apache Junction, AZ 85120
Phone (480) 618-0945

1036 N Arizona Ave
Chandler, AZ 85225
Phone (480) 618-0027

6052 N 59th Ave
Glendale, AZ 85301
Phone (480) 618-0176

2850 E Main St
Ste 106
Mesa, AZ 85213
Phone (480) 618-0019

1940 W Indian School Rd
Ste 1
Phoenix, AZ 85015
Phone (602) 782-1880

2525 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 344-1015

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043

3137 W Indian School Rd
Phoenix, AZ 85017
Phone (602) 325-5570

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

3536 W Glendale Ave
Phoenix, AZ 85051
Phone (480) 618-0177

3833 E Thomas Rd
Ste A2
Phoenix, AZ 85018
Phone (602) 671-7066

745 E Guadalupe Rd
Tempe, AZ 85283
Phone (480) 618-0123

3820 N Oracle Rd
Tucson, AZ 85705
Phone (520) 200-6707

7040 E Golf Links Rd
Tucson, AZ 85730
Phone (520) 200-6709

Interoperability endpoints

  • Direct secure messaging: melissa.romero@oakstreethealth.gwaydirect.com

Organizations & group practices 6

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": "1369008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1811333693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746093",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746093",
            "telephone_number": "312-733-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6052 N 59TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853017709",
            "telephone_number": "480-618-0176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3137 W Indian School Rd",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850174069",
            "country_code": "US",
            "telephone_number": "602-325-5570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROMERO",
        "first_name": "MELISSA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-20",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "52853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.