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MR. JOHAN MENNIG SAN ROMAN PA-C
NPI 1023290269
Physician Assistant - Medical in Homestead, FL

Active since November 29, 2007PECOS Enrolled
975 BAPTIST WAY, HOMESTEAD, FL 33033(305) 793-4706 Get Directions Write a Review

NPPES record last updated: November 29, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Johan Mennig San Roman Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JOHAN MENNIG SAN ROMAN PA-C (NPI 1023290269) is an individual medical provider in Homestead, Florida, licensed in Florida (PA3409) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023290269
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. JOHAN MENNIG SAN ROMANCredential: PA-C
Location Address975 BAPTIST WAYHomestead, FL 33033-7600
Mailing Address6634 Sw 114th Pl, Unit AMiami, FL 33173-1783 · (305) 793-4706
Phone(305) 793-4706
Sole ProprietorYes
Enumeration DateNovember 29, 2007
✔ NPI 1023290269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in FL · PA3409
975 BAPTIST WAY, Homestead, FL 33033
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Johan Mennig San Roman Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers20 claims20 services$97.42 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOUTH DADE MEDICAL GROUP LLP
Hospitalist
975 BAPTIST WAY
HOMESTEAD, FL 33033
Miami-Dade County (786) 573-1770
AARON KUMP PA
Physician Assistant
975 BAPTIST WAY, EMERGENCY DEPARTMENT
HOMESTEAD, FL 33033
Miami-Dade County (786) 243-8510
MOHAMAD SHAHMOHAMADY M.D.
Obstetrics & Gynecology
975 BAPTIST WAY, SUITE 102
HOMESTEAD, FL 33033
Miami-Dade County (305) 247-1100
CHF MEDICAL ASSOCIATES LLP
Internal Medicine
975 BAPTIST WAY
HOMESTEAD, FL 33033
Miami-Dade County (786) 243-8073
DR. DAYRON RODRIGUEZ D.O.
Pediatrics (Pediatric Emergency Medicine)
975 BAPTIST WAY
HOMESTEAD, FL 33033
Miami-Dade County (305) 219-9956
GRISEL DIAZ
Nurse Practitioner (Family)
975 BAPTIST WAY, HOMESTEAD HOSPITAL
HOMESTEAD, FL 33033
Miami-Dade County (786) 243-8000
OLYMPIA, LLP
Emergency Medicine
975 BAPTIST WAY
HOMESTEAD, FL 33033
Miami-Dade County (786) 243-8000
ASSOCIATED PEDIATRICIAINS OF HOMESTEAD LLC
Pediatrics (Pediatric Critical Care Medicine)
975 BAPTIST WAY
HOMESTEAD, FL 33033
Miami-Dade County (305) 274-1662

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Johan Mennig San Roman's NPI number?

The NPI number for Johan Mennig San Roman is 1023290269. It was assigned to this individual provider in the NPPES registry on November 29, 2007.

Where is Johan Mennig San Roman located?

Johan Mennig San Roman practices at 975 Baptist Way, Homestead, FL 33033. The listed phone number is (305) 793-4706.

What is Johan Mennig San Roman's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Johan Mennig San Roman enrolled in Medicare?

Yes. Johan Mennig San Roman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Johan Mennig San Roman was last updated on November 29, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.