Active NPI
Ruth Yolanda Romero Velasco, MD
- General Acute Care Hospital
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 268008
- Practice address
- 2100 Dorchester Ave
Boston, MA 02124-5615 - Phone
- (617) 296-4000
- NPI assigned
- Jul 19, 2016
- Last updated
- Nov 15, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 268008 | MA | Primary |
| Internal Medicine Physician | 207R00000X | 86500 | SC |
Addresses
Primary practice location
2100 Dorchester Ave
Boston, MA 02124-5615
Mailing address
9 Huguenin Ave Apt 306
Charleston, SC 29403-7039
Phone (929) 257-9453
Other practice location 1
9330 Medical Plaza Dr
North Charleston, SC 29406-9104
Phone (843) 797-7000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0704492065 | Other | MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | OTHERURL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
501 Robertson Blvd
Walterboro, SC 29488-2787
Phone (843) 782-2000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86500 | SC | MD | Internal Medicine Physician |
| 268008 | MA | MD | General Acute Care Hospital |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Hospitalist Services PC | Internal Medicine | Current | Accepting new patients |
| Trident Medical Center, LLC | General Acute Care Hospital | Past | Accepting new patients |
Locations
809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182
9330 Medical Plaza Dr
North Charleston, SC 29406
Phone (843) 554-6366
295 Midland Pkwy
Summerville, SC 29485
Phone (843) 554-6366
501 Robertson Blvd
Walterboro, SC 29488
Phone (843) 549-2000
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.
-
- Hospitalist Physician
- Myrtle Beach, SC
- NPI 1003280108
Internal Medicine
-
dba HCA Healthcare Trident Hospital
- General Acute Care Hospital
- Charleston, SC
- NPI 1366496937
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Healthcare Trident Hospital
- General Acute Care Hospital
- Charleston, SC
- NPI 1366496937
-
dba HCA Healthcare Colleton Hospital
- General Acute Care Hospital
- Walterboro, SC
- NPI 1376597997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636934400000",
"number": "1992158547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 HUGUENIN AVE APT 306",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294037039",
"telephone_number": "929-257-9453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 DORCHESTER AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "021245615",
"telephone_number": "617-296-4000"
}
],
"practiceLocations": [
{
"address_1": "9330 Medical Plaza Dr",
"address_purpose": "LOCATION",
"city": "North Charleston",
"state": "SC",
"postal_code": "294069104",
"country_code": "US",
"telephone_number": "843-797-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROMERO VELASCO",
"first_name": "RUTH",
"middle_name": "YOLANDA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-19",
"last_updated": "2021-11-15",
"certification_date": "2021-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "MA",
"license": "268008",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "SC",
"license": "86500",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "0704492065",
"state": null
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "OTHERURL",
"affiliation": "N",
"address_1": "9330 Medical Plaza Dr",
"city": "North Charleston",
"state": "SC",
"country_code": "US",
"postal_code": "294069104",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.