JEFFERSONVILLE INTERNAL MEDICINE, P.C.
NPI 1831131564
General Practice in Jeffersonville, PA

Q: What is Jeffersonville Internal Medicine, P.C.'s specialty?

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

Active since June 10, 2006

1550 W MAIN ST, JEFFERSONVILLE, PA 19403(610) 635-1712(610) 635-1716 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

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About Jeffersonville Internal Medicine, P.c. NPPES

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

JEFFERSONVILLE INTERNAL MEDICINE, P.C. (NPI 1831131564) is a healthcare organization registered as a general practice in Jeffersonville, Pennsylvania and active in the NPI registry since June 2006. The organization lists Michael Conrad Roman, President, as its authorized official.

NPPES Registry Identity

NPI1831131564

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameJEFFERSONVILLE INTERNAL MEDICINE, P.C.

Location Address1550 W MAIN STJeffersonville, PA 19403-3228

Mailing Address1550 W Main StJeffersonville, PA 19403-3228 · (610) 635-1712 · Fax (610) 635-1716

Phone(610) 635-1712

Fax(610) 635-1716

Organization SubpartNo

Authorized OfficialMichael Conrad RomanPresident · (610) 635-1712

Enumeration DateJune 10, 2006

Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration

✔ NPI 1831131564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

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

Also ListedInternal MedicineTaxonomy 207R00000X · License OS009124L (PA)

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeffersonville Internal Medicine, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jeffersonville Internal Medicine, P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Michael Roman, D.O.

Internal Medicine

NPI 1073576849

1550 W MAIN ST
Jeffersonville, PA 19403

(610) 635-1712

✔ PECOS✔ Accepts Medicare

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Jeffersonville Internal Medicine, P.C.'s NPI number?

The NPI number for Jeffersonville Internal Medicine, P.C. is 1831131564. It was assigned to this organization in the NPPES registry on June 10, 2006.

Where is Jeffersonville Internal Medicine, P.C. located?

Jeffersonville Internal Medicine, P.C. is located at 1550 W Main St, Jeffersonville, PA 19403. The listed phone number is (610) 635-1712.

What is Jeffersonville Internal Medicine, P.C.'s specialty?

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

Is Jeffersonville Internal Medicine, P.C. enrolled in Medicare?

Yes. Jeffersonville Internal Medicine, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jeffersonville Internal Medicine, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Jeffersonville Internal Medicine, P.C.. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jeffersonville Internal Medicine, P.C. was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.