Individual provider Active NPI

Federico Roman NG, MD

  • Internal Medicine Physician
  • San Antonio, TX
National Provider Identifier
1528061488
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
J6623 Issued in TX
Practice address
11107 Wurzbach Rd Ste 304
San Antonio, TX 78230-2553
Phone
(210) 437-1111
Fax
(210) 437-6505
NPI assigned
May 24, 2005
Last updated
Jun 11, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X J6623 TX Primary
Pediatrics Physician 208000000X J6623 TX

Addresses

Primary practice location

11107 Wurzbach Rd Ste 304
San Antonio, TX 78230-2553

Mailing address

11107 Wurzbach Rd Ste 304
San Antonio, TX 78230-2553
Phone (210) 437-1111

Other identifiers 1

IdentifierTypeStateIssuer
131179706MedicaidTX

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081017000295 TX Practitioner - Internal MedicinePractitioner - Pediatric Medicine 3870651946 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
University of Texas Southwestern Medical School at Dallas, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Office ForceGroup PAC ID 9335481951, 58 clinicians

Practice addresses (Care Compare)

5915 Silver Springs Dr
BLDG 3a
El Paso, TX 79912-4126
Phone (706) 296-8632

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J6623TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Federico Roman NG, Mdpa Internal Medicine CurrentSince May 5, 2012 Accepting new patients
Medical Office Force Internal Medicine CurrentSince Sep 1, 2025 Accepting new patients
Modern MD PLLC PastSince Dec 4, 2020 Accepting new patients
Pediatric Infectious Diseases Associates PA PastSince Aug 7, 2012 Accepting new patients

Locations

2005 Prince Ave
Athens, GA 30606
Phone (706) 296-8632

5915 Silver Springs Dr
Bldg 3A
El Paso, TX 79912
Phone (706) 296-8632

11107 Wurzbach Rd
Ste 304
San Antonio, TX 78230
Phone (210) 323-9779

7922 Ewing Halsell Dr
Ste 270
San Antonio, TX 78229
Phone (210) 614-2828

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1528061488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11107 WURZBACH RD STE 304",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782302553",
            "telephone_number": "210-437-1111",
            "fax_number": "210-437-6505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11107 WURZBACH RD STE 304",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782302553",
            "telephone_number": "210-437-1111",
            "fax_number": "210-437-6505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NG",
        "first_name": "FEDERICO",
        "middle_name": "ROMAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J6623",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "J6623",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131179706",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.