Individual provider Active NPI

Jessica Denise Rome, M.D.

  • Pediatrics Physician
  • Fall River, MA
National Provider Identifier
1912109778
Registry record updated Jun 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
LP01174 Issued in RI
Practice address
829 S Main St
Fall River, MA 02724-2944
Phone
(508) 324-6800
Fax
(508) 674-5540
NPI assigned
Jun 4, 2007
Last updated
Jun 5, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X LP01174 RI Primary

Addresses

Primary practice location

829 S Main St
Fall River, MA 02724-2944

Mailing address

851 Middle St
Fall River, MA 02721-1778
Phone (508) 324-6800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20101105000750 MA Practitioner - Pediatric Medicine 5294920088 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Medical College of Georgia School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

851 Middle St
Fall River, MA 02721-1778
Phone (508) 324-6800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LP01174RIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Associates of Fall River, Inc Pediatrics CurrentSince Jan 23, 2013 Accepting new patients
Southcoast Hospitals Group, Inc Past Accepting new patients

Locations

829 S Main St
Fall River, MA 02724
Phone (508) 675-2131

851 Middle St
Fall River, MA 02721
Phone (508) 324-6800

Organizations & group practices 2

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": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338854400000",
    "number": "1912109778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 MIDDLE ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027211778",
            "telephone_number": "508-324-6800",
            "fax_number": "508-674-5540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 S MAIN ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027242944",
            "telephone_number": "508-324-6800",
            "fax_number": "508-674-5540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROME",
        "first_name": "JESSICA",
        "middle_name": "DENISE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-04",
        "last_updated": "2012-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "RI",
            "license": "LP01174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.