Individual provider Active NPI

Lydia Navarro Roman, M.D.

  • General Practice Physician
  • Houston, TX
National Provider Identifier
1003889635
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
G5826 Issued in TX
Practice address
5815 Gulf Fwy Ste 100
Houston, TX 77023-5362
Phone
(713) 643-0012
Fax
(713) 643-5808
NPI assigned
Feb 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X G5826 TX Primary

Addresses

Primary practice location

5815 Gulf Fwy Ste 100
Houston, TX 77023-5362

Mailing address

5815 Gulf Fwy Ste 100
Houston, TX 77023-5362
Phone (713) 643-0012

Other names 1

  • Dr. Lydia Navarro De Roman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120125000718 TX Practitioner - Family PracticePractitioner - General Practice 8224205679 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians

Practice addresses (Care Compare)

6157 NW Loop 410
124 Wellmed at Ingram Park
San Antonio, TX 78238-3302
Phone (210) 523-1411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Group, P.a. Family Medicine CurrentSince Jan 20, 2021 Accepting new patients
Wellmed Medical Group, PA Family Medicine Current Accepting new patients
Alliance for Wellness Group Professional Association Adult Medicine Past Accepting new patients

Locations

1315 St Joseph Pkwy
Ste 1309
Houston, TX 77002
Phone (832) 366-1305

6969 Gulf Fwy
Ste 200B
Houston, TX 77087
Phone (713) 643-0012

5815 Gulf Fwy
Ste 100
Houston, TX 77023
Phone (713) 643-0012

325 W 20th St
Houston, TX 77008
Phone (713) 868-4433

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

Interoperability endpoints

  • Direct secure messaging: lydia.navarroroman@wellmed.eclinicaldirectplus.com

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1003889635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5815 GULF FWY STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770235362",
            "telephone_number": "713-643-0012",
            "fax_number": "713-643-5808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5815 GULF FWY STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770235362",
            "telephone_number": "713-643-0012",
            "fax_number": "713-643-5808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAVARRO ROMAN",
        "first_name": "LYDIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-13",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "G5826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYDIA",
            "last_name": "DE ROMAN",
            "middle_name": "NAVARRO",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.