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DR. DIVINA ROMAN M.D.
NPI 1093783276
Internal Medicine - Adolescent Medicine in Tulsa, OK

Active since March 14, 2006Opted out of Medicare · through Mar 8, 2027
1919 S WHEELING AVE, 200, TULSA, OK 74104(918) 748-7600(918) 293-3109 Get Directions Write a Review

NPPES record last updated: October 29, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Divina Roman M.d. NPPES

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

DR. DIVINA ROMAN M.D. (NPI 1093783276) is an individual adolescent medicine provider in Tulsa, Oklahoma, licensed in Oklahoma (18436) and active in the NPI registry since March 2006. She has opted out of Medicare through March 8, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1093783276
Entity TypeIndividualFemale
Primary Taxonomy207RA0000X
Provider Legal NameDR. DIVINA ROMANCredential: M.D.
Location Address1919 S WHEELING AVE, 200Tulsa, OK 74104-5638
Mailing Address1919 S Wheeling Ave, 200Tulsa, OK 74104-5638 · (918) 748-7600 · Fax (918) 293-3109
Phone(918) 748-7600
Fax(918) 293-3109
Sole ProprietorNo
Enumeration DateMarch 14, 2006
Last NPPES UpdateOctober 29, 2007
✔ NPI 1093783276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0000X
License✔ Licensed in OK · 18436
Definition

An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

1919 S WHEELING AVE, Tulsa, OK 74104
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Other Identifiers 1

Medicare UPING26041OK

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Divina Roman M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 8, 2023 through March 8, 2027.

Opt-Out Effective DateMarch 8, 2023
Opt-Out In Effect ThroughMarch 8, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

CASIE NICOLE BRIM NP
Nurse Practitioner
1919 S WHEELING AVE, SUITE 606
TULSA, OK 74104
Tulsa County (918) 748-7676
BRIAN CROTTY D.O.
Family Medicine
1919 S WHEELING AVE, LL 100
TULSA, OK 74104
Tulsa County (918) 748-7890
JULIE ANN KINZIE L.C.S.W.
Social Worker (Clinical)
1919 S WHEELING AVE, SUITE 204
TULSA, OK 74104
Tulsa County (918) 403-7200
CHARLES ANTHONY HOWARD MD
Surgery
1919 S WHEELING AVE, SUITE 600
TULSA, OK 74104
Tulsa County (918) 744-3523
DONNA J KRUTKA M.D.
Pediatrics (Adolescent Medicine)
1919 S WHEELING AVE, SUITE 304
TULSA, OK 74104
Tulsa County (918) 748-7620
DR. JON P COX M.D.
Internal Medicine
1919 S WHEELING AVE, 402
TULSA, OK 74104
Tulsa County (918) 748-7877
DR. KENNETH E WIEMAR M. D.
Specialist
1919 S WHEELING AVE, SUITE 300
TULSA, OK 74104
Tulsa County (918) 748-7570
MRS. AERIAL CHANEL ANTHONY
Physician Assistant
1919 S WHEELING AVE, SUITE 200
TULSA, OK 74104
Tulsa County (918) 748-7600

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 Divina Roman's NPI number?

The NPI number for Divina Roman is 1093783276. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Where is Divina Roman located?

Divina Roman practices at 1919 S Wheeling Ave 200, Tulsa, OK 74104. The listed phone number is (918) 748-7600.

What is Divina Roman's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Adolescent Medicine, with taxonomy code 207RA0000X.

Is Divina Roman enrolled in Medicare?

No. Divina Roman has opted out of Medicare through March 8, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

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