Active NPI
John W Roman, M.D.
- Dermatology Physician
- Norfolk, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 0101254438
- Practice address
- 885 Kempsville Rd Ste 309
Norfolk, VA 23502-3800 - Phone
- (757) 347-2712
- Fax
- (757) 502-8933
- NPI assigned
- Jun 11, 2012
- 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 20101 | NH | |
| Dermatology Physician | 207N00000X | 0101254438 | VA | Primary |
Addresses
Primary practice location
885 Kempsville Rd Ste 309
Norfolk, VA 23502-3800
Mailing address
4700 Exchange CT Ste 110
Boca Raton, FL 33431-4450
Phone (561) 948-0291
Other practice location 1
8901 Wisconsin Ave
Bethesda, MD 20889-0004
Phone (540) 842-2553
Other practice location 2
355 Crawford St Ste 622
Portsmouth, VA 23704-2823
Phone (757) 399-8456
Other practice location 3
733 Volvo Pkwy Ste 300
Chesapeake, VA 23320-1610
Phone (757) 461-1103
Other practice location 4
590 Court St
Keene, NH 03431-1719
Phone (603) 653-2066
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- 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
- Dermatology
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
355 Crawford St
Suite 622
Portsmouth, VA 23704-2823
Phone (757) 347-2712
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101254438 | VA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Dermatology of Tidewater LLC | Dermatology | Current | Accepting new patients |
| On Site Dermatology LLC | Dermatology | Current | Accepting new patients |
Locations
4700 Exchange Ct
Ste 110
Boca Raton, FL 33431
Phone (561) 223-8081
733 Volvo Pkwy
Ste 300
Chesapeake, VA 23320
Phone (757) 321-3383
885 Kempsville Rd
Ste 309
Norfolk, VA 23502
Phone (757) 347-2712
355 Crawford St
Ste 622
Portsmouth, VA 23704
Phone (757) 347-2712
Organizations & group practices 2
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.
-
- Dermatology Physician
- Norfolk, VA
- NPI 1801238472
-
- Dermatology Physician
- Boca Raton, FL
- NPI 1215978713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785888000000",
"number": "1700148277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4700 EXCHANGE CT STE 110",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334314450",
"telephone_number": "561-948-0291",
"fax_number": "561-859-0429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "885 KEMPSVILLE RD STE 309",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235023800",
"telephone_number": "757-347-2712",
"fax_number": "757-502-8933"
}
],
"practiceLocations": [
{
"address_1": "8901 Wisconsin Ave",
"address_purpose": "LOCATION",
"city": "Bethesda",
"state": "MD",
"postal_code": "208890004",
"country_code": "US",
"telephone_number": "540-842-2553",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "355 Crawford St Ste 622",
"address_purpose": "LOCATION",
"city": "Portsmouth",
"state": "VA",
"postal_code": "237042823",
"country_code": "US",
"telephone_number": "757-399-8456",
"fax_number": "757-502-8933",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "733 Volvo Pkwy Ste 300",
"address_purpose": "LOCATION",
"city": "Chesapeake",
"state": "VA",
"postal_code": "233201610",
"country_code": "US",
"telephone_number": "757-461-1103",
"fax_number": "757-502-8933",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "590 Court St",
"address_purpose": "LOCATION",
"city": "Keene",
"state": "NH",
"postal_code": "034311719",
"country_code": "US",
"telephone_number": "603-653-2066",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROMAN",
"first_name": "JOHN",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-11",
"last_updated": "2026-08-05",
"certification_date": "2026-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NH",
"license": "20101",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "VA",
"license": "0101254438",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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.