HEATHER ROMERO MD
NPI 1285680082
Family Medicine in Grand Rapids, MI
About Heather Romero Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HEATHER ROMERO MD (NPI 1285680082) is an individual family medicine provider in Grand Rapids, Michigan, licensed in Michigan (4301086463) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Mercy Health Saint Mary's, and is a graduate of University Of New Mexico School Of Medicine (1999).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 6
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Heather Romero Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Heather Romero reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Grand Rapids, MI 49503
- Reassigned Medicare billing, Michigan enrollment
- 737 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mercy Health Saint Mary's
Acute Care Hospitals · Grand Rapids, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Heather Romero's NPI number?
The NPI number for Heather Romero is 1285680082. It was assigned to this individual provider in the NPPES registry on May 25, 2006.
Where is Heather Romero located?
Heather Romero practices at 730 Grandville Ave SW, Grand Rapids, MI 49503. The listed phone number is (616) 685-8400.
What is Heather Romero's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Heather Romero enrolled in Medicare?
Yes. Heather Romero is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Heather Romero's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Heather Romero reassigns Medicare benefits to Advantage Health/Saint Mary's Medical Group (Grand Rapids, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Heather Romero's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Heather Romero accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Heather Romero as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Heather Romero affiliated with any hospitals?
According to CMS data, Heather Romero is affiliated with Mercy Health Saint Mary's.
When was this NPI record last updated?
The NPPES record for Heather Romero was last updated on August 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Heather Romero, MD · NPI 1285680082
Family Medicine physician in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since May 25, 2006.
## Identity
- **NPI:** 1285680082 (Entity type: Individual)
- **Enumerated:** May 25, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 4301086463 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 730 GRANDVILLE AVE SW, Grand Rapids, MI 49503-4920
- **Phone:** (616) 685-8400 · **Fax:** (616) 742-1322
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Advantage Health/Saint Mary's Medical Group (NPI 1457863565, Grand Rapids, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of New Mexico School Of Medicine, class of 1999
## Record status
- **NPPES last updated:** August 24, 2012
- **Other identifiers:** Medicare ID-Type Unspecified M69390247 (MI); Medicaid 4891722 (MI); Medicaid 4878140 (MI); and 3 more
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Source: [NPI Profile](https://npiprofile.com/npi/1285680082) · Data from the CMS NPPES public registry.