Individual provider Active NPI

Jaime Roman III, PA-C

  • Physician Assistant
  • Plano, TX
National Provider Identifier
1497092654
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA08211 Issued in TX
Practice address
4708 Alliance Blvd Ste 150
Plano, TX 75093-5339
Phone
(972) 596-7801
Fax
(972) 596-9307
NPI assigned
Jan 8, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X TX
Medical Physician Assistant 363AM0700X PA08211 TX
Physician Assistant 363A00000X PA08211 TX Primary

Addresses

Primary practice location

4708 Alliance Blvd Ste 150
Plano, TX 75093-5339

Mailing address

PO Box 911230
Dallas, TX 75391-1230
Phone (972) 997-8000

Other identifiers 1

IdentifierTypeStateIssuer
317966507MedicaidTX

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130523000478 TX Practitioner - Physician Assistant 4981842358 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Oncology PAGroup PAC ID 5395658934, 1,001 clinicians

Practice addresses (Care Compare)

10425 N Central Expy
Dallas, TX 75231-2208
Phone (214) 361-2025

2026 S Jackson St
Jacksonville, TX 75766-5822
Phone (903) 586-2456

3410 Worth St
Dallas, TX 75246-2092

3705 W 15TH St
Plano, TX 75075-7753
Phone (972) 867-3577

4708 Alliance Blvd
Suite 150
Plano, TX 75093-5339
Phone (972) 596-7801

4708 Alliance Blvd
Suite 475
Plano, TX 75093-5351
Phone (972) 596-7801

5236 W University Dr
Suite 1000
McKinney, TX 75071-8106
Phone (972) 923-2600

5858 W Main St
Suite 120
Frisco, TX 75033-4502
Phone (214) 436-8780

7777 Forest LN
Suite C707
Dallas, TX 75230-6861
Phone (972) 566-3000

7848 Gateway Blvd E
El Paso, TX 79915-1815
Phone (915) 599-1313

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.12 of 100Reported as apm
Quality
67.48
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA08211TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Oncology PA CurrentSince Oct 22, 2018 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Apr 6, 2013 Accepting new patients
University of Texas Southwestern Medical Center at Dallas CurrentSince Apr 6, 2013 Accepting new patients
Texas Oncology PA Past Accepting new patients

Locations

2201 Inwood Rd
Dallas, TX 75235
Phone (214) 645-2563

3000 N Interstate 35
Denton, TX 76201
Phone (469) 303-3591

7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313

600 S Main St
Ft Worth, TX 76104
Phone (817) 882-2400

3621 22nd St
Ste 400
Lubbock, TX 79410
Phone (806) 791-8484

4708 Alliance Blvd
Ste 150
Plano, TX 75093
Phone (972) 596-7801

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1357603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1497092654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911230",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753911230",
            "telephone_number": "972-997-8000",
            "fax_number": "972-234-2987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4708 ALLIANCE BLVD STE 150",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935339",
            "telephone_number": "972-596-7801",
            "fax_number": "972-596-9307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN",
        "first_name": "JAIME",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-08",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA08211",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA08211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "317966507",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.