ROMAN JOHN MARCINIAK
NPI 1326579210
Internal Medicine in San Diego, CA

Q: What is Roman Marciniak's NPI number?

The NPI number for Roman Marciniak is 1326579210. It was assigned to this individual provider in the NPPES registry on March 23, 2017.

Q: What is Roman Marciniak's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Roman Marciniak was last updated on August 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 23, 2017PECOS Enrolled

4077 FIFTH AVE # MER35, SAN DIEGO, CA 92103(619) 294-8111 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 20, 2024, Feb 23, 2021, Mar 23, 2017 (3 updates tracked since 2017).

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About Roman John Marciniak NPPES

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

ROMAN JOHN MARCINIAK (NPI 1326579210) is an individual internal medicine provider in San Diego, California, licensed in California (20A17072) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326579210

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameROMAN JOHN MARCINIAK

Location Address4077 FIFTH AVE # MER35San Diego, CA 92103-2105

Mailing Address4077 Fifth Ave # Mer35San Diego, CA 92103-2105 · (619) 294-8111

Phone(619) 294-8111

Sole ProprietorNo

Enumeration DateMarch 23, 2017

Last NPPES UpdateAugust 20, 20243 updates tracked since enumeration

NPPES CertifiedAugust 20, 2024

✔ NPI 1326579210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in CA · 20A17072

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

4077 FIFTH AVE # MER35, San Diego, CA 92103

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Roman John Marciniak is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92103 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

$140.22 typical visit price

range $62.10 – $184.71

Typical copayment $35.05 (range $15.52 – $46.17)

Most-billed visit code 99204

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

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.

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.

DR. PRANAY RAG BONAGIRI DO

Internal Medicine