Individual provider Active NPI

Romeo Torres Nillas, MD

  • Internal Medicine Physician
  • Buckeye, AZ
National Provider Identifier
1922055722
Registry record updated Jan 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
62134 Issued in AZ
Practice address
306 E Monroe Ave
Buckeye, AZ 85326-2706
Phone
(877) 809-5092
NPI assigned
May 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 30591 SC
Internal Medicine Physician 207R00000X 62134 AZ Primary

Addresses

Primary practice location

306 E Monroe Ave
Buckeye, AZ 85326-2706

Mailing address

3033 N Central Ave Ste 145
Phoenix, AZ 85012-2808
Phone (623) 583-3001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090629000165 SC Practitioner - Internal MedicinePractitioner - Geriatric Medicine 3678514056 Reassigns benefits to 6 organizations
I20210114002172 AZ Practitioner - Internal Medicine 3678514056 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adelante Healthcare, IncGroup PAC ID 4688588643, 132 clinicians

Practice addresses (Care Compare)

15317 W Bell Rd
Surprise, AZ 85374-3900
Phone (877) 809-5092

15351 W Bell Rd
Surprise, AZ 85374-4580
Phone (877) 809-5092

306 E Monroe Ave
Buckeye, AZ 85326-2706
Phone (877) 809-5092

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
62134AZMDInternal Medicine Physician
30591SCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Little River Medical Center, Inc. Family Medicine CurrentSince Jan 1, 2017 Accepting new patients
Adelante Healthcare, Inc. Family Medicine Current Accepting new patients
Little River Medical Center Inc Family Medicine CurrentSince Dec 7, 2015 Accepting new patients
Little River Medical Center, Inc. Family Medicine CurrentSince Feb 27, 2017 Accepting new patients
Little River Medical Center, Inc. Family Medicine CurrentSince Mar 6, 2017 Accepting new patients
Little River Medical Center, Inc CurrentSince Feb 12, 2017 Accepting new patients
Adelante Healthcare, Inc. CurrentSince Feb 22, 2021 Accepting new patients
Adelante Healthcare, Inc CurrentSince Feb 22, 2021 Accepting new patients
Adelante Healthcare, Inc. Family Medicine Past Accepting new patients
Coastal Carolina Primary Care, LLC Past Accepting new patients

Locations

306 E Monroe Ave
Buckeye, AZ 85326
Phone (623) 386-4814

13471 W Cornerstone Blvd
Goodyear, AZ 85395

1705 W Main St
Mesa, AZ 85201
Phone (480) 845-6769

15525 N 83rd Ave
Ste 104
Peoria, AZ 85382

500 W Thomas Rd
Ste 870
Phoenix, AZ 85013
Phone (602) 263-0222

3033 N Central Ave
Ste 145
Phoenix, AZ 85012

9610 N Metro Pkwy W
Phoenix, AZ 85051
Phone (602) 710-7487

7725 N 43rd Ave
Ste 510
Phoenix, AZ 85051
Phone (623) 207-5465

15351 W Bell Rd
Surprise, AZ 85374

15317 W Bell Rd
Ste 100
Surprise, AZ 85374

811 N Tegner St
Ste 113
Wickenburg, AZ 85390

4303 Live Oak Dr
Little River, SC 29566
Phone (803) 839-3939

3817 Main St
Loris, SC 29569
Phone (843) 663-8297

4220 Carolina Exchange Dr
Myrtle Beach, SC 29579
Phone (843) 663-8013

3515 Caduceus Dr
Ste B
Myrtle Beach, SC 29588
Phone (843) 651-5689

7724 N Kings Hwy
Myrtle Beach, SC 29572
Phone (843) 839-3939

Interoperability endpoints

  • Direct secure messaging: romeo.nillas@lrmc.directbygreenway.com

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610236800000",
    "number": "1922055722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 N CENTRAL AVE STE 145",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122808",
            "telephone_number": "623-583-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 E MONROE AVE",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853262706",
            "telephone_number": "877-809-5092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NILLAS",
        "first_name": "ROMEO",
        "middle_name": "TORRES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2021-01-10",
        "certification_date": "2021-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "30591",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "62134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buckeye, AZ

Sources for this page

Verify at the official NPI Registry.