Active NPI
Felix Xavier De Jesus Roman, M.D.
- Internal Medicine Physician
- Naugatuck, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 056412
- Practice address
- 131 Bridge St
Naugatuck, CT 06770-2929 - Phone
- (203) 729-0755
- NPI assigned
- May 15, 2014
- Last updated
- Oct 5, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 056412 | CT | Primary |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 56412 | CT |
Addresses
Primary practice location
131 Bridge St
Naugatuck, CT 06770-2929
Mailing address
67 Maple Ave
Derby, CT 06418-1328
Phone (203) 732-1330
Other practice location 1
267 Grant St
Bridgeport, CT 06610
Phone (203) 384-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
75 Holly Hill LN
Suite 201
Greenwich, CT 06830-2912
Phone (203) 869-6960
Hospital & facility affiliations
- Health Care Connectors LLC
- Amedisys Home Health
- Constellation Home Care
- Visiting Nurse & Hospice of Fairfield County, Inc
- Stamford Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.6 of 100
- Quality
- 84.86
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 71.31
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Promoting interoperability
- 0
- Improvement activities
- 0
- Cost
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056412 | CT | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Medical Group, Inc. | Internal Medicine | Current | Accepting new patients |
| Stamford Health Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Griffin Faculty Physicians, Inc. | Internal Medicine | Current | Accepting new patients |
Locations
267 Grant St
Bridgeport, CT 06610
Phone (203) 384-3170
130 Division St
Derby, CT 06418
Phone (203) 732-1330
67 Maple Ave
Derby, CT 06418
Phone (203) 732-0699
75 Holly Hill Ln
Greenwich, CT 06830
Phone (203) 661-3333
75 Holly Hill Ln
Ste 201
Greenwich, CT 06830
Phone (201) 357-8888
131 Bridge St
Naugatuck, CT 06770
Phone (203) 729-0755
5 High Ridge Park
Ste 103
Stamford, CT 06905
Phone (203) 276-4644
95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/ABCIBA
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Stamford, CT
- NPI 1154633980
Internal Medicine
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Derby, CT
- NPI 1598755605
Internal Medicine
-
- Internal Medicine Physician
- Bridgeport, CT
- NPI 1043278351
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Norwalk, CT
- NPI 1194997791
-
- Home Health Agency
- Greenwich, CT
- NPI 1265056212
-
- General Acute Care Hospital
- Stamford, CT
- NPI 1356331425
-
dba Amedisys Home Health
- Home Health Agency
- Stamford, CT
- NPI 1043264112
-
- Community Based Hospice Care Agency
- Wilton, CT
- NPI 1982606869
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538697600000",
"number": "1386055069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "67 MAPLE AVE",
"city": "DERBY",
"state": "CT",
"postal_code": "064181328",
"telephone_number": "203-732-1330",
"fax_number": "203-732-1332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 BRIDGE ST",
"city": "NAUGATUCK",
"state": "CT",
"postal_code": "067702929",
"telephone_number": "203-729-0755"
}
],
"practiceLocations": [
{
"address_1": "267 Grant St",
"address_purpose": "LOCATION",
"city": "Bridgeport",
"state": "CT",
"postal_code": "06610",
"country_code": "US",
"telephone_number": "203-384-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DE JESUS ROMAN",
"first_name": "FELIX",
"middle_name": "XAVIER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-15",
"last_updated": "2018-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "056412",
"primary": true
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "CT",
"license": "56412",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Naugatuck, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.