Individual provider Active NPI

Angela R Roman, CRNA

  • Certified Registered Nurse Anesthetist
  • Coral Gables, FL
National Provider Identifier
1629493143
Registry record updated Dec 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP9252884 Issued in FL
Practice address
5555 Ponce de Leon Blvd
Coral Gables, FL 33134-6914
Phone
(305) 689-0695
NPI assigned
Feb 20, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 9252884 FL
Certified Registered Nurse Anesthetist 367500000X ARNP9252884 FL Primary

Addresses

Primary practice location

5555 Ponce de Leon Blvd
Coral Gables, FL 33134-6914

Mailing address

5555 Ponce de Leon Blvd
Coral Gables, FL 33134-6914
Phone (305) 689-0695

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140430001310 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 2961635891 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2801 NW 79TH Ave
Doral, FL 33122-1174
Phone (786) 466-1286

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.01 of 100Reported as group
Quality
72.99
Promoting interoperability
82
Improvement activities
40
Cost
78.71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9252884FLMDCertified Registered Nurse Anesthetist
ARNP9252884FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
South Florida Anesthesia & Pain Treatment, P.a. Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2014 Accepting new patients
Public Health Trust of Miami Dade County Florida CurrentSince Apr 3, 2023 Accepting new patients
Pelican Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince May 5, 2018 Accepting new patients
Public Health Trust of Miami Dade County Florida CurrentSince Apr 3, 2023 Accepting new patients
Galloway Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 8, 2018 Accepting new patients
Galloway Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 8, 2018 Accepting new patients

Locations

5101 SW 8th St
Ste 201
Coral Gables, FL 33134
Phone (305) 262-6060

5101 SW 8th St
Coral Gables, FL 33134
Phone (305) 441-1570

3100 SW 37th Ave
Coral Gables, FL 33134
Phone (305) 441-6868

2801 NW 79th Ave
Ste 402
Doral, FL 33122
Phone (786) 466-1286

5000 W Oakland Park Blvd
Lauderdale Lakes, FL 33313
Phone (866) 747-5834

901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300

7500 SW 87th Ave
Ste 101
Miami, FL 33173
Phone (305) 595-9511

1611 NW 12th Ave
#300
Miami, FL 33136
Phone (305) 585-6970

2801 NW 79th Ave
Miami, FL 33122
Phone (786) 466-1000

7600 SW 87th Ave
Ste 100
Miami, FL 33173
Phone (786) 235-3750

1611 NW 12th Ave
#C300
Miami, FL 33136
Phone (305) 585-7037

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 6

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 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1392854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481500800000",
    "number": "1629493143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 PONCE DE LEON BLVD",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331346914",
            "telephone_number": "305-689-0695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 PONCE DE LEON BLVD",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331346914",
            "telephone_number": "305-689-0695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN",
        "first_name": "ANGELA",
        "middle_name": "R",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-20",
        "last_updated": "2016-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "9252884",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9252884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.