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DR. CARMELO ROCO M.D.
NPI 1316996465
Internal Medicine in San Francisco, CA

Active since May 08, 2006PECOS EnrolledAccepts Medicare Assignment
490 POST STREET # 901, SAN FRANCISCO, CA 94102(415) 421-2256(415) 421-9024 Get Directions Write a Review

NPPES record last updated: April 10, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Carmelo Roco M.d. NPPES

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

DR. CARMELO ROCO M.D. (NPI 1316996465) is an individual internal medicine provider in San Francisco, California, licensed in California (A47770) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1980).

NPPES Registry Identity

NPI1316996465
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. CARMELO ROCOCredential: M.D.
Location Address490 POST STREET # 901San Francisco, CA 94102
Mailing Address490 Post St Ste 901San Francisco, CA 94102-1410 · (415) 421-2256 · Fax (415) 421-9024
Phone(415) 421-2256
Fax(415) 421-9024
Sole ProprietorNo
Medical School CMSOtherGraduated 1980
Enumeration DateMay 8, 2006
Last NPPES UpdateApril 10, 2020
NPPES CertifiedApril 10, 2020
✔ NPI 1316996465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A47770
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
490 POST STREET # 901, San Francisco, CA 94102
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Other Identifiers 1

Medicaid00A477701CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Carmelo Roco 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 ID8123114873
PECOS Enrollment IDI20071011000288
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Carmelo Roco reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

City And Couny Of San Francisco
0.5 mi
Adult Mental Health
720 SACRAMENTO ST
San Francisco, CA 94108
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: City & County Of San Francisco
  • 1,573 clinicians in this Medicare group
NPI 1164613832 (415) 392-4453
Wu Lee Quock Medical Corporation
4.8 mi
Family Medicine
1044 TARAVAL ST
San Francisco, CA 94116
  • Reassigned Medicare billing, California enrollment
  • 8 clinicians in this Medicare group
NPI 1609352665 (415) 216-0088
Clarkian Hospitalist Corporation
8.3 mi
Hospitalist
1900 SULLIVAN AVE
Daly City, CA 94015
  • Reassigned Medicare billing, California enrollment
  • 20 clinicians in this Medicare group
NPI 1780353227 (000) 000-0000
Nes Western Group, A Professional Corporation
21 mi
Emergency Medicine
27200 CALAROGA AVE
Hayward, CA 94545
  • Reassigned Medicare billing, California enrollment
  • 160 clinicians in this Medicare group
NPI 1588249569 (510) 264-4000
Department Of State Hospitals
35 mi
Psychiatric Hospital
2100 NAPA VALLEJO HWY
Napa, CA 94558
  • Reassigned Medicare billing, California enrollment
  • 755 clinicians in this Medicare group
NPI 1326098161 (707) 253-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
303 services96 patients
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.
298 services62 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
53 services21 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
33 services30 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
33 services26 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
13 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94102 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

Referred Medical Equipment & Supplies CMS DME claims 11

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers26 claims59 services$4.61 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers14 claims14 services$0.82 avg. paid by Medicare
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier48 claims1,458 services$4.50 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
1 supplier24 claims8,770 services$0.29 avg. paid by Medicare
Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4154
Other-Enteral and Parenteral · category OB006N
1 supplier21 claims9,672 services$0.55 avg. paid by Medicare
Enteral nutrition infusion pump, any type B9002
Other-Enteral and Parenteral · category OB005N
1 supplier17 claims17 services$53.82 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Carmelo Roco's NPI number?

The NPI number for Carmelo Roco is 1316996465. It was assigned to this individual provider in the NPPES registry on May 8, 2006.

Where is Carmelo Roco located?

Carmelo Roco practices at 490 Post Street # 901, San Francisco, CA 94102. The listed phone number is (415) 421-2256.

What is Carmelo Roco's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Carmelo Roco enrolled in Medicare?

Yes. Carmelo Roco 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.

Which organizations bill Medicare for Carmelo Roco's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carmelo Roco reassigns Medicare benefits to 5 organizations: City And Couny Of San Francisco (San Francisco, CA), Wu Lee Quock Medical Corporation (San Francisco, CA), Clarkian Hospitalist Corporation (Daly City, CA), Nes Western Group, A Professional Corporation (Hayward, CA) and Department Of State Hospitals (Napa, CA). 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 Carmelo Roco's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Carmelo Roco was last updated on April 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.