ROCIO L ROMAN M.D.
NPI 1205861911
Family Medicine in Houston, TX

Active since July 11, 2006PECOS EnrolledAccepts Medicare Assignment
82.38/100
CMS Quality Rating
5550 KELLEY ST, HOUSTON, TX 77026(713) 566-9247 Get Directions Write a Review

NPPES record last updated: February 28, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Feb 28, 2025, Apr 27, 2022 (2 updates tracked since 2022).

About Rocio L Roman M.d. NPPES

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

ROCIO L ROMAN M.D. (NPI 1205861911) is an individual family medicine provider in Houston, Texas, licensed in Texas (K4216) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Harris Health System, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1205861911
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameROCIO L ROMANCredential: M.D.
Location Address5550 KELLEY STHouston, TX 77026-1818
Mailing Address5550 Kelley StHouston, TX 77026-1818 · (713) 218-2697
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateJuly 11, 2006
Last NPPES UpdateFebruary 28, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2025
NPI 1205861911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · K4216
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5550 KELLEY ST, Houston, TX 77026

Other Identifiers 2

Medicaid104088302TX
Other88Y349TX · Bcbs

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 and accepts Medicare assignment

Rocio L Roman M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2264560937
PECOS Enrollment IDI20100518000075
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
36 services30 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Harris Health System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450289
Location2525 Holly HallHouston, TX 77054 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77026 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.23
Promoting Interoperability100
Improvement Activities40
Cost58.5

Other Providers at the Same Location NPPES 8

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

Psychiatry & Neurology (Psychiatry)
5550 KELLEY ST
HOUSTON, TX 77026
Nurse Practitioner (Family)
5550 KELLEY ST
HOUSTON, TX 77026
Family Medicine
5550 KELLEY ST
HOUSTON, TX 77026
Family Medicine
5550 KELLEY ST
HOUSTON, TX 77026
Clinic/Center (Ambulatory Surgical)
5550 KELLEY ST, 3RD FLOOR
HOUSTON, TX 77026
Family Medicine
5550 KELLEY ST
HOUSTON, TX 77026
General Practice
5550 KELLEY ST
HOUSTON, TX 77026
Orthopaedic Surgery
5550 KELLEY ST
HOUSTON, TX 77026

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 Rocio Roman's NPI number?

The NPI number for Rocio Roman is 1205861911. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Rocio Roman located?

Rocio Roman practices at 5550 Kelley St, Houston, TX 77026. The listed phone number is (713) 566-9247.

What is Rocio Roman's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Rocio Roman enrolled in Medicare?

Yes. Rocio Roman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Rocio Roman accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice, Molina Healthcare and Oscar Insurance Company list Rocio Roman 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.

Is Rocio Roman affiliated with any hospitals?

According to CMS data, Rocio Roman is affiliated with Harris Health System.

When was this NPI record last updated?

The NPPES record for Rocio Roman was last updated on February 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.