Active NPI
Juan C Roman, M.D.
- Anesthesiology Physician
- Little Rock, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- E-1764
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 050060897 | Other | AR | RAILROAD MEDICARE (LRPM) |
| 171973300 | Other | AR | US DEPT. OF LABOR OWCP |
| 1792000020 | Other | AR | QUAL CHOICE (LRPM) |
| 172478000 | Other | AR | US DOL OWCP (LRPM) |
| 050060898 | Other | AR | RAILROAD MEDICARE |
| 71033532430 | Other | AR | QUAL CHOICE |
| 5K805 | Other | AR | BLUE CROSS BLUE SHIELD |
| S01847 | Other | AR | NOVASYS |
| 134483001 | Medicaid | AR | |
| 770132401 | Other | AR | ARKANSAS 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
Enrollment records 1
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
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
- Arkansas Surgical Hospital
- CHI-St Vincent Infirmary
- Baptist Health Medical Center- Conway
- White County Medical Center
- Baptist Health Rehabilitation Institute
Merit-based Incentive Payment System (MIPS)
- Final score
- 22.12 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 73.74
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-1764 | AR | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Arkansas Surgical Center, LLC | Current | Accepting new patients | |
| Proper Pain Solutions PLLC | Pain Medicine | Current | 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.
-
- Pain Medicine (Anesthesiology) Physician
- Little Rock, AR
- NPI 1508349135
-
- Ambulatory Surgical Clinic/Center
- Russellville, AR
- NPI 1992034763
-
- Certified Registered Nurse Anesthetist
- Sherwood, AR
- NPI 1316991847
Anesthesiology
-
- Critical Access Hospital
- Breaux Bridge, LA
- NPI 1548263262
Hospital & facility affiliations 25
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- North Little Rock, AR
- NPI 1942260609
-
- Rehabilitation Hospital
- Little Rock, AR
- NPI 1215967831
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Conway, AR
- NPI 1285005140
-
- General Acute Care Hospital
- Russellville, AR
- NPI 1033160049
-
- Psychiatric Hospital Unit
- Little Rock, AR
- NPI 1710442801
-
- General Acute Care Hospital
- Little Rock, AR
- NPI 1780684431
-
- Hospitalist Physician
- Searcy, AR
- NPI 1053662890
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.