Individual provider Active NPI

Carlos A Roman, MD

  • Clinical Cardiac Electrophysiology Physician
  • San Antonio, TX
National Provider Identifier
1043297989
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
J2766 Issued in TX
Practice address
4411 Medical Dr
Ste 300
San Antonio, TX 78229-3824
Phone
(210) 614-5400
Fax
(210) 614-2413
NPI assigned
Dec 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X J2766 TX Primary

Addresses

Primary practice location

4411 Medical Dr
Ste 300
San Antonio, TX 78229-3824

Mailing address

4411 Medical Dr Ste 300
San Antonio, TX 78229-3824
Phone (210) 614-5400

Other practice location 1

134 Menger Spgs Ste 1370
Boerne, TX 78006-7228
Phone (830) 331-8000

Other identifiers 4

IdentifierTypeStateIssuer
TXB112510OtherTXMEDICARE
8CM516OtherTXBCBS
124478207MedicaidTX
P00898271OtherTXRAILROAD MEDICARE

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
I20060720000175 TX Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 1658384409 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac Electrophysiology
Education
Other, 1982
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4411 Medical Dr
Suite 300
San Antonio, TX 78229-3849

8109 Fredericksburg Rd
San Antonio, TX 78229-3311

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair28
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J2766TXMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
VHS San Antonio Partners LLC CurrentSince Jan 1, 2003 Accepting new patients
VHS San Antonio Partners, LLC CurrentSince Jan 1, 2003 Accepting new patients
Cardiology Clinic of San Antonio, PLLC Clinical Cardiac Electrophysiology CurrentSince Sep 1, 2010 Accepting new patients
Methodist Medical Group, PLLC Clinical Cardiac Electrophysiology Past Accepting new patients
San Antonio Cardiology Clinic PA Past Accepting new patients

Locations

134 Menger Spgs
Ste 1370
Boerne, TX 78006
Phone (830) 331-8000

12412 Judson Rd
Live Oak, TX 78233
Phone (210) 646-5000

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

1310 McCullough Ave
San Antonio, TX 78212
Phone (210) 208-2200

4411 Medical Dr
Ste 300
San Antonio, TX 78229
Phone (210) 582-5145

615 Soledad St
Ste 300
San Antonio, TX 78205

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

1195 Garner Field Rd
Ste 400
Uvalde, TX 78801
Phone (830) 278-1652

Interoperability endpoints

  • Direct secure messaging: carlos.roman@hca7.eclinicaldirectplus.com
  • Direct secure messaging: 3210-roman-carlos@direct.leadingreach.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1043297989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 MEDICAL DR STE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293824",
            "telephone_number": "210-614-5400",
            "fax_number": "210-614-2413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 MEDICAL DR",
            "address_2": "STE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293824",
            "telephone_number": "210-614-5400",
            "fax_number": "210-614-2413"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "134 Menger Spgs Ste 1370",
            "address_purpose": "LOCATION",
            "city": "Boerne",
            "state": "TX",
            "postal_code": "780067228",
            "country_code": "US",
            "telephone_number": "830-331-8000",
            "fax_number": "830-331-8004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROMAN",
        "first_name": "CARLOS",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "TX",
            "license": "J2766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "TXB112510",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8CM516",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124478207",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00898271",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.