1. Home
  2. Directory
  3. Texas
  4. Austin
  5. General Practice
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NICHOLAS ANDRE SAN ROMAN MD
NPI 1356043756
General Practice in Austin, TX

Active since March 20, 2023PECOS Enrolled
1100 W 49TH ST, AUSTIN, TX 78756(512) 776-7111 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 14, 2026, Mar 20, 2023 (2 updates tracked since 2023).

About Nicholas Andre San Roman Md NPPES

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

NICHOLAS ANDRE SAN ROMAN MD (NPI 1356043756) is an individual general practice provider in Austin, Texas, licensed in Texas (W1497) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356043756
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameNICHOLAS ANDRE SAN ROMANCredential: MD
Location Address1100 W 49TH STAustin, TX 78756-3126
Mailing Address1100 W 49th StAustin, TX 78756-3126 · (512) 776-7111
Phone(512) 776-7111
Sole ProprietorNo
Enumeration DateMarch 20, 2023
Last NPPES UpdateJuly 14, 20262 updates tracked since enumeration
NPPES CertifiedJuly 14, 2026
✔ NPI 1356043756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in TX · W1497
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1100 W 49TH ST, Austin, TX 78756
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicholas Andre San Roman Md 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.

Other Providers at the Same Location NPPES 13

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

ADOLFO MIGUEL VALADEZ M.D.
Internal Medicine
1100 W 49TH ST, G 401
AUSTIN, TX 78756
Travis County (512) 458-7729
DR. VY HA NGUYEN D.D.S
Dentist (General Practice)
1100 W 49TH ST
AUSTIN, TX 78756
Travis County (512) 776-3001
DEPARTMENT OF STATE HEALTH SERVICES
Public Health or Welfare
1100 W 49TH ST
AUSTIN, TX 78756
Travis County (512) 458-7111
DEPARTMENT OF STATE HEALTH SERVICES
Clinical Medical Laboratory
1100 W 49TH ST
AUSTIN, TX 78756
Travis County (512) 458-7111
DEPARTMENT OF STATE HEALTH SERVICES
Public Health or Welfare
1100 W 49TH ST, MAIL CODE 1917, ROOM G-109
AUSTIN, TX 78756
Travis County (512) 458-7111
ALEXIS FARMER MD
Preventive Medicine (Public Health & General Preventive Medicine)
1100 W 49TH ST
AUSTIN, TX 78756
Travis County (512) 571-0426
MANDA L HALL M.D.
Allergy & Immunology
1100 W 49TH ST
AUSTIN, TX 78756
Travis County (512) 776-7321
DR. SUSAN CAROL PENFIELD M.D.
Pediatrics
1100 W 49TH ST
AUSTIN, TX 78756
Travis County (512) 458-7455

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 Nicholas San Roman's NPI number?

The NPI number for Nicholas San Roman is 1356043756. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Where is Nicholas San Roman located?

Nicholas San Roman practices at 1100 W 49th St, Austin, TX 78756. The listed phone number is (512) 776-7111.

What is Nicholas San Roman's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Nicholas San Roman enrolled in Medicare?

Yes. Nicholas San Roman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicholas San Roman was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.