DR. ROMAN G. MCINNERNEY DO
NPI 1205321163
Pediatrics in San Diego, CA
About Dr. Roman G. Mcinnerney Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ROMAN G. MCINNERNEY DO (NPI 1205321163) is an individual pediatrics provider in San Diego, California, licensed in California (20A17994) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Roman G. Mcinnerney Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
5Medicare enrollment records show Roman Mcinnerney reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Diego, CA 92123
- Reassigned Medicare billing, California enrollment
- 562 clinicians in this Medicare group
San Diego, CA 92111
- Reassigned Medicare billing, California enrollment
- 1,233 clinicians in this Medicare group
Yuma, AZ 85364
- Reassigned Medicare billing, Arizona enrollment
- 79 clinicians in this Medicare group
San Antonio, TX 78207
- Reassigned Medicare billing, Texas enrollment
- 1,129 clinicians in this Medicare group
San Antonio, TX 78207
- Reassigned Medicare billing, Texas enrollment
- 453 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92123 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SAN DIEGO, CA 92123
SAN DIEGO, CA 92123
SAN DIEGO, CA 92123
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 Roman Mcinnerney's NPI number?
The NPI number for Roman Mcinnerney is 1205321163. It was assigned to this individual provider in the NPPES registry on June 24, 2018.
Where is Roman Mcinnerney located?
Roman Mcinnerney practices at 3020 Childrens Way, San Diego, CA 92123. The listed phone number is (858) 966-8800.
What is Roman Mcinnerney's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Roman Mcinnerney enrolled in Medicare?
Yes. Roman Mcinnerney is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Roman Mcinnerney's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Roman Mcinnerney reassigns Medicare benefits to 5 organizations: Rady Children's Hospital San Diego (San Diego, CA), Sharp Rees-Stealy Medical Group, Inc (San Diego, CA), Sierra Estrellas Emergency Physicians LLC (Yuma, AZ), Community Medicine Associates (San Antonio, TX) and Baylor College Of Medicine (San Antonio, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Roman Mcinnerney's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Roman Mcinnerney accept?
Health plans from Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Oscar Health Plan, Inc. and Oscar Insurance Company and 1 other insurer list Roman Mcinnerney as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Roman Mcinnerney was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Roman G. Mcinnerney, DO · NPI 1205321163
Pediatrics physician in San Diego, California. Individual provider, active in the CMS NPPES registry since June 24, 2018.
## Identity
- **NPI:** 1205321163 (Entity type: Individual)
- **Enumerated:** June 24, 2018
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 20A17994 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3020 CHILDRENS WAY, San Diego, CA 92123-4223
- **Phone:** (858) 966-8800
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Rady Children's Hospital San Diego (NPI 1669617197, San Diego, CA); Sharp Rees-Stealy Medical Group, Inc (NPI 1285616177, San Diego, CA); Sierra Estrellas Emergency Physicians LLC (NPI 1578001319, Yuma, AZ); Community Medicine Associates (NPI 1245313329, San Antonio, TX); Baylor College Of Medicine (NPI 1285079764, San Antonio, TX) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 5, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1205321163) · Data from the CMS NPPES public registry.