DR. TRACY ROMANELLO (DO) – Family Medicine Physician, NPI 1417388612

DR. TRACY ROMANELLO (DO) is a healthcare provider. based in Miami lakes, Florida. specializing in Family Medicine Physician. They hold the professional credentials DO. They hold a License No. OS12424 (FL). The NPI Number for DR. TRACY ROMANELLO (DO) is 1417388612

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. TRACY ROMANELLO (DO)
NPI
1417388612
Phone
(305) 351-7139
Address
14875 NW 77TH AVE STE 201
Enumeration Date
12 December 2013
Last Update Date
24 October 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3053517057
Graduation Year
2011 (15 years ago)
PAC ID
6305165150
Group Practice PAC ID
7416189998
Professional Enrollment ID
I20150429002191
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:12State licenses:1Digital endpointsOther names

Provider Addresses for DR. TRACY ROMANELLO (DO)

  • 14875 NW 77TH AVE STE 201

    MIAMI LAKES, FL 330142568

    Phone: (305) 351-7139

    Fax: (305) 824-0665

    Type: Location

  • 600 S LAKE DASHA DR

    PLANTATION, FL 333243132

    Phone: (954) 383-7166

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-04-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150429002191IFamily PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33014)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7416189998View full group profile
NameSpecialtyState
Nurse PractitionerFL
Internal Medicine, Geriatric Medicine, Hospice/Palliative CareFL
Nurse PractitionerFL
Internal Medicine, Hospice/Palliative CareFL
Nurse PractitionerFL
Internal MedicineMA
Nurse PractitionerFL
-FL
Hospice/Palliative CareFL
Family Practice, Geriatric MedicineNY

Reviews

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Frequently asked questions

What unique ID ties claims to DR. TRACY ROMANELLO (DO)?
NPI 1417388612 is assigned to DR. TRACY ROMANELLO (DO) under the national enumeration system.
Is DR. TRACY ROMANELLO (DO)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize DR. TRACY ROMANELLO (DO)'s specialty in plain language?
Clinically, the directory lists DR. TRACY ROMANELLO (DO) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. TRACY ROMANELLO (DO)?
The page summarizes Miami Lakes, Florida for DR. TRACY ROMANELLO (DO); expand the address list for detail.
What if Miami Lakes, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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