Active NPI
Christopher Thomas Roman, PA-C
- Physician Assistant
- Carmel, IN
National Provider Identifier
1407155690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 10001249A
- Practice address
- 11455 N. Meridian Street
Suite 200
Carmel, IN 46032-1680 - Phone
- (317) 582-8180
- Fax
- (317) 582-8185
- NPI assigned
- Mar 28, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 10001249A | IN | Primary |
Addresses
Primary practice location
11455 N. Meridian Street
Suite 200
Carmel, IN 46032-1680
Mailing address
12302 Hancock St
Carmel, IN 46032-5807
Phone (317) 564-4836
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
762 N Dan Jones Rd
Gericare Indy
Avon, IN 46123-6213
Phone (317) 956-6288
7911 Michigan Rd
Indianapolis, IN 46268-1915
7911 N Michigan Rd
Indianapolis, IN 46268-1915
Phone (317) 956-6288
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10001249A | IN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro Infectious Disease Consultants LLC | Past | Accepting new patients |
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.
-
- Pulmonary Disease Physician
- Indianapolis, IN
- NPI 1770689242
-
- Infectious Disease Physician
- Jonesboro, GA
- NPI 1770307191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404172800000",
"number": "1407155690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12302 HANCOCK ST",
"city": "CARMEL",
"state": "IN",
"postal_code": "460325807",
"telephone_number": "317-564-4836",
"fax_number": "317-587-2342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11455 N. MERIDIAN STREET",
"address_2": "SUITE 200",
"city": "CARMEL",
"state": "IN",
"postal_code": "460321680",
"telephone_number": "317-582-8180",
"fax_number": "317-582-8185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMAN",
"first_name": "CHRISTOPHER",
"middle_name": "THOMAS",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-28",
"last_updated": "2014-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IN",
"license": "10001249A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carmel, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2014; 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.