Organization Active NPI

Romeo Medical , PLLC

  • Legal Medicine
  • Romeo, MI
National Provider Identifier
1841489770
Registry record updated Oct 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
4301070853 Issued in MI
Legal business name
ROMEO MEDICAL , PLLC
Practice address
241 N Main St
Romeo, MI 48065-4619
Phone
(586) 752-9694
Fax
(586) 752-7871
NPI assigned
Oct 16, 2007
Last updated
Oct 16, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2007

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

Authorized official

Name
Mphammad Jaamour, M.D.
Title
Medical Director
Phone
(586) 752-9694

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193400000X SINGLE SPECIALTY GROUP 173000000X 4301070853 MI Primary

Addresses

Primary practice location

241 N Main St
Romeo, MI 48065-4619

Mailing address

241 N Main St
Romeo, MI 48065-4619
Phone (586) 752-9694

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040812000837 MI Part B Supplier - Clinic/Group Practice 0345212999 Receives reassigned benefits from 3 practitioners
Practice locations: Romeo, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D0364376Romeo Medical LLC241 N Main, Romeo, MI 48065Provider-performed microscopyMar 17, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1841489770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 N MAIN ST",
            "city": "ROMEO",
            "state": "MI",
            "postal_code": "480654619",
            "telephone_number": "586-752-9694",
            "fax_number": "586-752-7871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 N MAIN ST",
            "city": "ROMEO",
            "state": "MI",
            "postal_code": "480654619",
            "telephone_number": "586-752-9694",
            "fax_number": "586-752-7871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROMEO MEDICAL , PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "JAAMOUR",
        "authorized_official_first_name": "MPHAMMAD",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "586-752-9694",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "MI",
            "license": "4301070853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Romeo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; 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.

Verify at the official NPI Registry.