Active NPI
Romeo Torres Nillas, MD
- Internal Medicine Physician
- Buckeye, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 62134
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 62134 | AZ | MD | Internal Medicine Physician |
| 30591 | SC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Little River Medical Center, Inc. | Family Medicine | Current | Accepting new patients |
| Adelante Healthcare, Inc. | Family Medicine | Current | Accepting new patients |
| Little River Medical Center Inc | Family Medicine | Current | Accepting new patients |
| Little River Medical Center, Inc. | Family Medicine | Current | Accepting new patients |
| Little River Medical Center, Inc. | Family Medicine | Current | Accepting new patients |
| Little River Medical Center, Inc | Current | Accepting new patients | |
| Adelante Healthcare, Inc. | Current | Accepting new patients | |
| Adelante Healthcare, Inc | Current | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Wickenburg, AZ
- NPI 1083772545
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Little River, SC
- NPI 1629021076
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Myrtle Beach, SC
- NPI 1346638483
-
- Federally Qualified Health Center (FQHC)
- Myrtle Beach, SC
- NPI 1184783284
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Myrtle Beach, SC
- NPI 1508120619
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Loris, SC
- NPI 1619100096
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Myrtle Beach, SC
- NPI 1669535225
-
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1215734124
-
- Federally Qualified Health Center (FQHC)
- Peoria, AZ
- NPI 1770991291
-
- Federally Qualified Health Center (FQHC)
- Surprise, AZ
- NPI 1205994761
Family Medicine
-
- Endocrinology, Diabetes & Metabolism Physician
- Myrtle Beach, SC
- NPI 1821257676
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2021; 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.