Individual provider Active NPI

Juan C Roman, M.D.

  • Anesthesiology Physician
  • Little Rock, AR
National Provider Identifier
1528055258
Registry record updated Sep 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
E-1764 Issued in AR
Practice address
500 S University Ave Ste 214
Little Rock, AR 72205-5304
Phone
(501) 476-3914
NPI assigned
Sep 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X E-1764 AR
Anesthesiology Physician 207L00000X E-1764 AR Primary

Addresses

Primary practice location

500 S University Ave Ste 214
Little Rock, AR 72205-5304

Mailing address

500 S University Ave Ste 214
Little Rock, AR 72205-5304
Phone (501) 476-3914

Other identifiers 10

IdentifierTypeStateIssuer
050060897OtherARRAILROAD MEDICARE (LRPM)
171973300OtherARUS DEPT. OF LABOR OWCP
1792000020OtherARQUAL CHOICE (LRPM)
172478000OtherARUS DOL OWCP (LRPM)
050060898OtherARRAILROAD MEDICARE
71033532430OtherARQUAL CHOICE
5K805OtherARBLUE CROSS BLUE SHIELD
S01847OtherARNOVASYS
134483001MedicaidAR
770132401OtherARARKANSAS BREASTCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20050302000827 AR Practitioner - Anesthesiology 2264423938 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Arkansas College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proper Pain Solutions PLLCGroup PAC ID 1557614781, 3 clinicians

Practice addresses (Care Compare)

3127 W 2ND CT
Suite B
Russellville, AR 72801-4566
Phone (501) 476-3914

4 Hospital Dr
Morrilton, AR 72110-4510
Phone (501) 476-3914

5201 Northshore Dr
North Little Rock, AR 72118-5312
Phone (501) 748-8000

5800 W 10TH St
Suite 205
Little Rock, AR 72204-1757
Phone (501) 476-3914

Hospital & facility affiliations

  • St Marys Regional Medical Center Hospital, Russellville, AR, CCN 040041
  • Arkansas Surgical Hospital Hospital, No Little Rock, AR, CCN 040147
  • CHI-St Vincent Infirmary Hospital, Little Rock, AR, CCN 040007
  • Baptist Health Medical Center- Conway Hospital, Conway, AR, CCN 040154
  • White County Medical Center Hospital, Searcy, AR, CCN 040014
  • Baptist Health Rehabilitation Institute Inpatient rehabilitation facility, Little Rock, AR, CCN 043026

Merit-based Incentive Payment System (MIPS)

Final score
22.12 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
73.74

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-1764ARMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Arkansas Surgical Center, LLC Current Accepting new patients
Proper Pain Solutions PLLC Pain Medicine CurrentSince Sep 13, 2018 Accepting new patients
Hospital Service District No. 2 Past Accepting new patients
St. Vincent Infirmary Medical Center Anesthesiology Past Accepting new patients

Locations

500 S University Ave
Ste 214
Little Rock, AR 72205
Phone (501) 476-3914

5800 W 10th St
Ste 205
Little Rock, AR 72204
Phone (501) 476-3914

5800 W 10th St
Ste 206
Little Rock, AR 72204
Phone (501) 661-0077

4 Hospital Dr
Morrilton, AR 72110
Phone (501) 977-2300

151 E Aspen Ln
Russellville, AR 72802
Phone (479) 967-1117

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 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536883200000",
    "number": "1528055258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S UNIVERSITY AVE STE 214",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055304",
            "telephone_number": "501-476-3914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S UNIVERSITY AVE STE 214",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055304",
            "telephone_number": "501-476-3914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN",
        "first_name": "JUAN",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2018-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "AR",
            "license": "E-1764",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AR",
            "license": "E-1764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE (LRPM)",
            "identifier": "050060897",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT. OF LABOR OWCP",
            "identifier": "171973300",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUAL CHOICE (LRPM)",
            "identifier": "1792000020",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DOL OWCP (LRPM)",
            "identifier": "172478000",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "050060898",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUAL CHOICE",
            "identifier": "71033532430",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5K805",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NOVASYS",
            "identifier": "S01847",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134483001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS BREASTCARE",
            "identifier": "770132401",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.