Individual provider Active NPI

Damian Roman, CRNP

  • Nurse Practitioner
  • Pittsburgh, PA
National Provider Identifier
1306570163
Registry record updated Feb 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP027055 Issued in PA
Practice address
147 39TH St Apt 424
Pittsburgh, PA 15201-3304
Phone
(206) 713-6919
NPI assigned
Jul 15, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X RN749927 PA
Nurse Practitioner 363L00000X SP027055 PA Primary

Addresses

Primary practice location

147 39TH St Apt 424
Pittsburgh, PA 15201-3304

Mailing address

147 39TH St # C424
Pittsburgh, PA 15201-3237
Phone (206) 713-6919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240410002318 PA Practitioner - Nurse Practitioner 7315385226 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Outreach Wellness CenterGroup PAC ID 6507186772, 43 clinicians

Practice addresses (Care Compare)

127 Anderson St
Pittsburgh, PA 15212-5803
Phone (412) 322-4151

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN749927PAMDGeneral Practice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Central Outreach Wellness Center CurrentSince Mar 9, 2024 Accepting new patients
Washington Wellness Institute, LLC Past Accepting new patients

Locations

127 Anderson St
Ste 101
Pittsburgh, PA 15212
Phone (412) 322-4151

Interoperability endpoints

  • Direct secure messaging: droman656519@direct.ochin.org

Organizations & group practices 2

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": "1657843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675382400000",
    "number": "1306570163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 39TH ST # C424",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152013237",
            "telephone_number": "206-713-6919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 39TH ST APT 424",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152013304",
            "telephone_number": "206-713-6919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN",
        "first_name": "DAMIAN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-15",
        "last_updated": "2023-02-03",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "PA",
            "license": "RN749927",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP027055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.