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, maintains 2 additional practice locations, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Roman G. Mcinnerney Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
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, Molina Healthcare and Oscar Health Plan, Inc. 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 12 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
- **Medical school:** Other, class of 2018
## 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.