Individual provider Active NPI

Ronald Romero, M.D.

  • Family Medicine Physician
  • Ann Arbor, MI
National Provider Identifier
1982970380
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301108115 Issued in MI
Practice address
2650 Carpenter Rd
Ann Arbor, MI 48108-1108
Phone
(734) 971-1073
NPI assigned
Mar 29, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301108115 MI Primary

Addresses

Primary practice location

2650 Carpenter Rd
Ann Arbor, MI 48108-1108

Mailing address

3174 Packard St
Ann Arbor, MI 48108-1947
Phone (734) 971-1073

Other practice location 1

200 Arnet St Ste 150
Ypsilanti, MI 48198-5735
Phone (734) 971-1073

Other practice location 2

312 W Huron St
Ann Arbor, MI 48103-4204
Phone (734) 971-1073

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20150811003651 MI Practitioner - Family Practice 4981836889 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Michigan Medical School, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Packard Health IncGroup PAC ID 6204876113, 20 clinicians

Practice addresses (Care Compare)

2650 Carpenter Rd
Ann Arbor, MI 48108-1108
Phone (734) 971-1073

Hospital & facility affiliations

  • University of Michigan Health System Hospital, Ann Arbor, MI, CCN 230046
  • Trinity Health Ann Arbor Hospital Hospital, Ann Arbor, MI, CCN 230156

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
127235CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Packard Health, Inc. CurrentSince Aug 31, 2015 Accepting new patients
Packard Health, Inc. CurrentSince Aug 31, 2015 Accepting new patients
Packard Health, Inc. Past Accepting new patients

Locations

2650 Carpenter Rd
Ann Arbor, MI 48108
Phone (734) 926-4921

3174 Packard St
Ann Arbor, MI 48108
Phone (734) 971-1073

312 W Huron St
Ann Arbor, MI 48103
Phone (734) 662-2829

200 Arnet St
Ste 150
Ypsilanti, MI 48198
Phone (734) 985-7200

Interoperability endpoints

  • FHIR API: https://arrprd.metrohealth.net/fhir/api/FHIR/R4

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1982970380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3174 PACKARD ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081947",
            "telephone_number": "734-971-1073",
            "fax_number": "734-971-8545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 CARPENTER RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081108",
            "telephone_number": "734-971-1073"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Arnet St Ste 150",
            "address_purpose": "LOCATION",
            "city": "Ypsilanti",
            "state": "MI",
            "postal_code": "481985735",
            "country_code": "US",
            "telephone_number": "734-971-1073",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "312 W Huron St",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481034204",
            "country_code": "US",
            "telephone_number": "734-971-1073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROMERO",
        "first_name": "RONALD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-29",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301108115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.