Active NPI
Kelly Marie Romero, PA-C
- Physician Assistant
- Albuquerque, NM
National Provider Identifier
1912175597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA2007-0027
- Practice address
- 5901 Zuni Rd SE
Turquiose Lodge Hospital/NM Dept of Health
Albuquerque, NM 87108-2519 - Phone
- (505) 383-1143
- NPI assigned
- Feb 15, 2008
- Last updated
- Aug 30, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA2007-0027 | NM | Primary |
Addresses
Primary practice location
5901 Zuni Rd SE
Turquiose Lodge Hospital/NM Dept of Health
Albuquerque, NM 87108-2519
Mailing address
3316 Chelwood Rd NE
Albuquerque, NM 87111-5410
Phone (505) 710-1528
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 88.68 of 100
- Quality
- 82.35
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA2007-0027 | NM | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Current | Accepting new patients |
Locations
8300 Constitution Ave NE
Bldg D
Albuquerque, NM 87110
Phone (505) 291-2200
Interoperability endpoints
- kromero116574@direct.phs.org
Organizations & group practices 4
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.
-
dba Presbyterian Medical Group
- Internal Medicine Physician
- Albuquerque, NM
- NPI 1104802354
-
dba Presbyterian Hospital
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283126400000",
"number": "1912175597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3316 CHELWOOD RD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871115410",
"telephone_number": "505-710-1528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5901 ZUNI RD SE",
"address_2": "TURQUIOSE LODGE HOSPITAL/NM DEPT OF HEALTH",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871082519",
"telephone_number": "505-383-1143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMERO",
"first_name": "KELLY",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-15",
"last_updated": "2010-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NM",
"license": "PA2007-0027",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.