ROMA VIVEK PRADHAN MD
NPI 1598419293
Ophthalmology in Humble, TX

Active since February 10, 2022PECOS Enrolled
18545 W LAKE HOUSTON PKWY, HUMBLE, TX 77346(281) 812-4000 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 18, 2026, Jul 16, 2022, Feb 10, 2022 (3 updates tracked since 2022).

About Roma Vivek Pradhan Md NPPES

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

ROMA VIVEK PRADHAN MD (NPI 1598419293) is an individual ophthalmology provider in Humble, Texas, licensed in Texas (W4931) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Cleveland, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1598419293
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameROMA VIVEK PRADHANCredential: MD
Location Address18545 W LAKE HOUSTON PKWYHumble, TX 77346-3392
Mailing Address21502 Merchants WayKaty, TX 77449-2517 · (281) 944-2232 · Fax (281) 944-2290
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 10, 2022
Last NPPES UpdateMay 18, 20263 updates tracked since enumeration
NPPES CertifiedMay 18, 2026
✔ NPI 1598419293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in TX · W4931
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
18545 W LAKE HOUSTON PKWY, Humble, TX 77346

Secondary Practice Location 1

Location 1901 E Houston St Ste BCleveland, TX 77327-4602 · Phone (281) 659-2020

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Roma Vivek Pradhan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1951871342
PECOS Enrollment IDI20260527001861
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 Reassignment

Medicare enrollment records show Roma Pradhan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ophthalmology
3100 WESLAYAN ST, STE 400
Houston, TX 77027
  • Reassigned Medicare billing, Texas enrollment
  • 78 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77346 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
Most-billed visit code 99213
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 4

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

Optometrist
18545 W LAKE HOUSTON PKWY
HUMBLE, TX 77346
Optometrist
18545 W LAKE HOUSTON PKWY
HUMBLE, TX 77346
Ophthalmology
18545 W LAKE HOUSTON PKWY
HUMBLE, TX 77346
Ophthalmology
18545 W LAKE HOUSTON PKWY
HUMBLE, TX 77346

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 Roma Pradhan's NPI number?

The NPI number for Roma Pradhan is 1598419293. It was assigned to this individual provider in the NPPES registry on February 10, 2022.

Where is Roma Pradhan located?

Roma Pradhan practices at 18545 W Lake Houston Pkwy, Humble, TX 77346. The listed phone number is (281) 812-4000.

What is Roma Pradhan's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Roma Pradhan enrolled in Medicare?

Yes. Roma Pradhan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Roma Pradhan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roma Pradhan reassigns Medicare benefits to Berkeley Eye Institute, PLLC (Houston, TX). The 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 Roma Pradhan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Roma Pradhan accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and WellPoint list Roma Pradhan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Roma Pradhan was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.