JAMES HENRY ROUM MD
NPI 1477633626
Internal Medicine - Critical Care Medicine in Orange, CA

Active since October 16, 2006PECOS EnrolledAccepts Medicare Assignment
1010 W LA VETA AVE STE 750, ORANGE, CA 92868(714) 639-9401(714) 919-8804 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Jun 22, 2017 (2 updates tracked since 2017).

About James Henry Roum Md NPPES

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

JAMES HENRY ROUM MD (NPI 1477633626) is an individual critical care medicine provider in Orange, California, licensed in California (G62370) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of University Of California, Irvine, California College Of Medicine (1986).

NPPES Registry Identity

NPI1477633626
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameJAMES HENRY ROUMCredential: MD
Location Address1010 W LA VETA AVE STE 750Orange, CA 92868-4312
Mailing Address1010 W La Veta Ave Ste 750Orange, CA 92868-4312 · (714) 639-9401 · Fax (714) 919-8804
Fax(714) 919-8804
Sole ProprietorNo
Medical School CMSUniversity Of California, Irvine, California College Of MedicineGraduated 1986
Enumeration DateOctober 16, 2006
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1477633626 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 · G62370
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 ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License G62370 (CA)
1010 W LA VETA AVE STE 750, Orange, CA 92868

Other Identifiers 5

OtherCG5665CA · Rail Road Group Ptan
OtherG62370CA · Medical License
Medicaid1912919804CA
OtherP00703134CA · Rail Road Member Ptan
Other1912919804CA · Type 2 Npi

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

James Henry Roum Md 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 ID9133027287
PECOS Enrollment IDI20031226000379
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 James Roum reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Critical Care Medicine
1100 W STEWART DR
Orange, CA 92868
  • Reassigned Medicare billing, California enrollment
  • 12 clinicians in this Medicare group
Hospitalist
101 THE CITY DR S BLDG 1
Orange, CA 92868
  • Reassigned Medicare billing, California enrollment
  • 250 clinicians in this Medicare group
Internal Medicine
625 THE CITY DR S STE 320
Orange, CA 92868
  • Reassigned Medicare billing, California enrollment
  • 187 clinicians in this Medicare group
Allergy & Immunology
101 THE CITY DR S
Orange, CA 92868
  • Reassigned Medicare billing, California enrollment
  • 525 clinicians in this Medicare group
Critical Care Medicine
4101 TORRANCE BLVD
Torrance, CA 90503
  • Reassigned Medicare billing, California enrollment
  • 13 clinicians in this Medicare group

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 3

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
275 services108 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
63 services33 patients
Emergent insertion of breathing tube into windpipe using an endoscope 31500
This is a procedure where a thin tube is inserted into your windpipe to aid in breathing. It's done in emergency situations, using an endoscope, a tool with a light and camera, to ensure correct placement.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92868 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.

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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%108 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 19

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

Internal Medicine (Critical Care Medicine)
1010 W LA VETA AVE STE 750
ORANGE, CA 92868
Internal Medicine
1010 W LA VETA AVE STE 750
ORANGE, CA 92868
Internal Medicine (Critical Care Medicine)
1010 W LA VETA AVE STE 750
ORANGE, CA 92868
Internal Medicine
1010 W LA VETA AVE STE 750
ORANGE, CA 92868
Nurse Practitioner (Acute Care)
1010 W LA VETA AVE STE 750
ORANGE, CA 92868
Internal Medicine (Critical Care Medicine)
1010 W LA VETA AVE STE 750
ORANGE, CA 92868
Internal Medicine
1010 W LA VETA AVE STE 750
ORANGE, CA 92868
Physician Assistant (Medical)
1010 W LA VETA AVE STE 750
ORANGE, CA 92868

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 James Roum's NPI number?

The NPI number for James Roum is 1477633626. It was assigned to this individual provider in the NPPES registry on October 16, 2006.

Where is James Roum located?

James Roum practices at 1010 W La Veta Ave Ste 750, Orange, CA 92868. The listed phone number is (714) 639-9401.

What is James Roum's specialty?

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

Is James Roum enrolled in Medicare?

Yes. James Roum 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 James Roum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Roum reassigns Medicare benefits to 5 organizations: Integrated Critical Care And Pulmonary Specialists Inc. (Orange, CA), The Regents Of The University Of California-Irvine (Orange, CA), Southern California Hospitalist Network Medical Group Inc (Orange, CA), Uc Regents (Orange, CA) and Southbay Critical Care A Medical Partnership (Torrance, 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 James Roum'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 James Roum was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.