Individual provider Active NPI

Jesse Roman, M.D.

  • Pulmonary Disease Physician
  • Atlanta, GA
National Provider Identifier
1942211198
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MD464010 Issued in PA
Practice address
1365 Clifton Rd NE
Atlanta, GA 30322-1013
Phone
(404) 778-3261
Fax
(404) 778-4431
NPI assigned
Aug 11, 2006
Last updated
Jan 26, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 43402 KY
Pulmonary Disease Physician 207RP1001X MD464010 PA Primary

Addresses

Primary practice location

1365 Clifton Rd NE
Atlanta, GA 30322-1013

Mailing address

1365 Clifton Rd NE
Atlanta, GA 30322-1013
Phone (404) 778-3261

Other identifiers 3

IdentifierTypeStateIssuer
200994000MedicaidIN
7100098740MedicaidKY
50027322OtherKYPASSPORT HEALTH PLAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, KY, PA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20040630000234 GA Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 1759368632 Reassigns benefits to 1 organization
I20100125000434 KY Practitioner - Pulmonary Disease 1759368632 Reassigns benefits to 1 organization
I20190118002626 PA Practitioner - Pulmonary Disease 1759368632 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
University of Puerto Rico School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Emory Clinic IncGroup PAC ID 8820901408, 3,507 clinicians

Practice addresses (Care Compare)

1365 Clifton Rd NE
Atlanta, GA 30322-1013
Phone (404) 778-7525

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TP907KYMDClinical Cardiac Electrophysiology Physician
43402KYMDPulmonary Disease Physician
MD464010PAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisville Physicians, Inc. CurrentSince May 1, 2012 Accepting new patients
Jefferson University Physicians CurrentSince Dec 8, 2018 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince May 1, 2012 Accepting new patients
The Emory Clinic Inc CurrentSince Dec 3, 2025 Accepting new patients
Emory Health Care Past Accepting new patients
University Medical Associates Past Accepting new patients
University of Louisville Physicians, Inc. Past Accepting new patients

Locations

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

7752 Solution Ctr
Chicago, IL 60677

201 Abraham Flexner Way
Ste 1001
Louisville, KY 40202
Phone (502) 589-6788

401 E Chestnut St
Unit 310
Louisville, KY 40202
Phone (502) 584-8563

501 E Broadway
Ste 290
Louisville, KY 40202
Phone (502) 217-5134

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

834 Walnut St
Fl 1
Philadelphia, PA 19107
Phone (215) 503-3000

834 Walnut St
Ste 650
Philadelphia, PA 19107
Phone (215) 928-7000

925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760

Organizations & group practices 7

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 4

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": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769385600000",
    "number": "1942211198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 CLIFTON RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303221013",
            "telephone_number": "404-778-3261",
            "fax_number": "404-778-4431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 CLIFTON RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303221013",
            "telephone_number": "404-778-3261",
            "fax_number": "404-778-4431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN",
        "first_name": "JESSE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "KY",
            "license": "43402",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PA",
            "license": "MD464010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200994000",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100098740",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT HEALTH PLAN",
            "identifier": "50027322",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.