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ROMAN GABRIEL NEPOMUCENO MD
NPI 1417715558
Internal Medicine - Critical Care Medicine in Porter Ranch, CA

Active since March 12, 2024PECOS Enrolled
11401 PORTER RANCH DR APT 6304, PORTER RANCH, CA 91326(424) 473-3705 Get Directions Write a Review

NPPES record last updated: December 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Roman Gabriel Nepomuceno Md NPPES

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

ROMAN GABRIEL NEPOMUCENO MD (NPI 1417715558) is an individual critical care medicine provider in Porter Ranch, California, licensed in California (194636) and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417715558
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameROMAN GABRIEL NEPOMUCENOCredential: MD
Location Address11401 PORTER RANCH DR APT 6304Porter Ranch, CA 91326-4645
Mailing Address11401 Porter Ranch Dr Apt 6304Porter Ranch, CA 91326-4645 · (424) 473-3705
Phone(424) 473-3705
Sole ProprietorNo
Enumeration DateMarch 12, 2024
Last NPPES UpdateDecember 30, 2024
NPPES CertifiedMarch 12, 2024
✔ NPI 1417715558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in CA · 194636
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 194636 (CA)
11401 PORTER RANCH DR APT 6304, Porter Ranch, CA 91326
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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 Gabriel Nepomuceno 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91326 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

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 Nepomuceno's NPI number?

The NPI number for Roman Nepomuceno is 1417715558. It was assigned to this individual provider in the NPPES registry on March 12, 2024.

Where is Roman Nepomuceno located?

Roman Nepomuceno practices at 11401 Porter Ranch Dr Apt 6304, Porter Ranch, CA 91326. The listed phone number is (424) 473-3705.

What is Roman Nepomuceno's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Roman Nepomuceno enrolled in Medicare?

Yes. Roman Nepomuceno is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Roman Nepomuceno was last updated on December 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.