1. Home
  2. Directory
  3. Michigan
  4. Ann Arbor
  5. Pediatrics
  6. NPI Profile

KERRYN ASHLEIGH ROOME MD
NPI 1467974535
Pediatrics - Pediatric Cardiology in Ann Arbor, MI

Active since July 11, 2017PECOS Enrolled
1540 E HOSPITAL DRIVE, CW 11-715Z, SPC 4204, ANN ARBOR, MI 48109(734) 936-4038 Get Directions Write a Review

NPPES record last updated: July 7, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 7, 2025, Jun 1, 2021, Jul 11, 2017 (3 updates tracked since 2017).

About Kerryn Ashleigh Roome Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KERRYN ASHLEIGH ROOME MD (NPI 1467974535) is an individual pediatric cardiology provider in Ann Arbor, Michigan, licensed in Michigan (4351053771) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Seattle.

NPPES Registry Identity

NPI1467974535
Entity TypeIndividualFemale
Primary Taxonomy2080P0202X
Provider Legal NameKERRYN ASHLEIGH ROOMECredential: MD
Location Address1540 E HOSPITAL DRIVE, CW 11-715Z, SPC 4204Ann Arbor, MI 48109-4204
Mailing Address1540 E Hospital Drive, Cw 11-715z, Spc 4204Ann Arbor, MI 48109-4204 · (734) 936-4038
Phone(734) 936-4038
Sole ProprietorNo
Enumeration DateJuly 11, 2017
Last NPPES UpdateJuly 7, 20253 updates tracked since enumeration
NPPES CertifiedJuly 7, 2025
✔ NPI 1467974535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in MI · 4351053771
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Also ListedPediatricsTaxonomy 208000000X · License ML61160489 (WA)
Also ListedPediatrics · Pediatric Critical Care MedicineTaxonomy 2080P0203X · License MD61522171 (WA)
1540 E HOSPITAL DRIVE, Ann Arbor, MI 48109
Open in Google Maps ↗

Secondary Practice Location 1

Location 14800 Sand Point Way NE # Oc.7830Seattle, WA 98105-3901 · Phone (206) 987-2525

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kerryn Ashleigh Roome Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kerryn Roome reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Association Of Chmc And University Physicians
1,770 mi
Pediatrics
969 STEVENS DR, SUITE 1B
Richland, WA 99352
  • Reassigned Medicare billing, Washington enrollment
  • Medicare enrollment name: The Association Of Chrmc And University Physicians
  • 1,443 clinicians in this Medicare group
NPI 1851680664 (509) 946-0976

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARAH KING DO
Student in an Organized Health Care Education/Training Program
1540 E HOSPITAL DRIVE, CW 4-972, SPC 4211
ANN ARBOR, MI 48109
Washtenaw County (734) 764-4151
PAIGE BAAL
Pediatrics (Pediatric Cardiology)
1540 E HOSPITAL DRIVE, CW 11-715Z, SPC 4204
ANN ARBOR, MI 48109
Washtenaw County (734) 936-4038

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 Kerryn Roome's NPI number?

The NPI number for Kerryn Roome is 1467974535. It was assigned to this individual provider in the NPPES registry on July 11, 2017.

Where is Kerryn Roome located?

Kerryn Roome practices at 1540 E Hospital Drive Cw 11-715z, Spc 4204, Ann Arbor, MI 48109. The listed phone number is (734) 936-4038.

What is Kerryn Roome's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Kerryn Roome enrolled in Medicare?

Yes. Kerryn Roome is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kerryn Roome's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kerryn Roome reassigns Medicare benefits to Association Of Chmc And University Physicians (Richland, WA). 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 Kerryn Roome's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kerryn Roome was last updated on July 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.