Individual provider Active NPI

Jose L Roman, MD

  • Internal Medicine Physician
  • Ocala, FL
National Provider Identifier
1851361745
Registry record updated Feb 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME65784 Issued in FL
Practice address
1800 SE 17TH St
BLDG 100
Ocala, FL 34471-4191
Phone
(352) 351-4999
Fax
(352) 351-8106
NPI assigned
Jan 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME65784 FL Primary

Addresses

Primary practice location

1800 SE 17TH St
BLDG 100
Ocala, FL 34471-4191

Mailing address

1800 SE 17TH St
BLDG 100
Ocala, FL 34471-4191
Phone (352) 351-4999

Other identifiers 2

IdentifierTypeStateIssuer
23995OtherFLBCBS
374870700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20050923000527 FL Practitioner - Internal Medicine 8224062708 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Boston University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians
Ocala Health Primary Care LLCGroup PAC ID 9931398120, 21 clinicians
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Practice addresses (Care Compare)

1550 Killingsworth Way
The Villages, FL 32162-2175
Phone (352) 633-2971

1800 SE 17TH St
Building 100
Ocala, FL 34471-4113
Phone (352) 351-4999

3845 SE Lake Weir Ave
Cora Physical Therapy East Ocala
Ocala, FL 34480-9153
Phone (352) 693-3378

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Ocala, FL, CCN 109532
  • Concierge Home Care Home health agency, Ocala, FL, CCN 687152
  • Centerwell Home Health Home health agency, Ocala, FL, CCN 107512
  • Florida Homecare Specialists Inc Home health agency, Lady Lake, FL, CCN 109071
  • Adventhealth Ocala Hospital, Ocala, FL, CCN 100062

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as individual
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of Florida Inc Internal Medicine CurrentSince Sep 23, 2015 Accepting new patients
Ocala Health Primary Care LLC CurrentSince Feb 1, 2016 Accepting new patients
Inpatient Consultants of Florida, Inc Internal Medicine CurrentSince Sep 23, 2015 Accepting new patients

Locations

1431 SW 1st Ave
Ocala, FL 34471
Phone (352) 401-1425

2415 SE 17th St
Ocala, FL 34471
Phone (352) 732-5365

1800 SE 17th St
Ste 100
Ocala, FL 34471
Phone (352) 351-4999

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: jose.roman@hca5.eclinicaldirectplus.com

Organizations & group practices 3

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 5

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": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454284800000",
    "number": "1851361745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 SE 17TH ST",
            "address_2": "BLDG 100",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344714191",
            "telephone_number": "352-351-4999",
            "fax_number": "352-351-8106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 SE 17TH ST",
            "address_2": "BLDG 100",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344714191",
            "telephone_number": "352-351-4999",
            "fax_number": "352-351-8106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN",
        "first_name": "JOSE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2016-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME65784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "23995",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "374870700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.