Active NPI
Amanda Romero, MD
- Trauma Surgery Physician
- Detroit, MI
National Provider Identifier
1992325583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Trauma Surgery Physician
- License
- 76584
- Practice address
- 4201 Saint Antoine St Ste 9C
Detroit, MI 48201-2153 - Phone
- (313) 577-5009
- NPI assigned
- Apr 23, 2020
- 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 |
|---|---|---|---|---|
| Trauma Surgery Physician | 2086S0127X | 76584 | TN | Primary |
Addresses
Primary practice location
4201 Saint Antoine St Ste 9C
Detroit, MI 48201-2153
Mailing address
20912 Alexander St
Saint Clair Shores, MI 48081-1873
Phone (269) 760-9811
Other practice location 1
877 Jefferson Ave
Memphis, TN 38103-2807
Phone (901) 545-7100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- 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
- General Surgery
- Education
- Wayne State University School of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
20912 Alexander St
Saint Clair Shore, MI 48081-1873
877 Jefferson Ave
Memphis, TN 38103-2897
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- adooley677030@direct.trinity-health.org
Organizations & group practices 1
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.
-
- Surgery Physician
- Memphis, TN
- NPI 1093130585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782691200000",
"number": "1992325583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20912 ALEXANDER ST",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480811873",
"telephone_number": "269-760-9811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 SAINT ANTOINE ST STE 9C",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012153",
"telephone_number": "313-577-5009"
}
],
"practiceLocations": [
{
"address_1": "877 Jefferson Ave",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381032807",
"country_code": "US",
"telephone_number": "901-545-7100",
"fax_number": "901-448-8472",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROMERO",
"first_name": "AMANDA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-23",
"last_updated": "2026-06-29",
"certification_date": "2026-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "TN",
"license": "76584",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; 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.