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RICARDO ROMAN MD INC
NPI 1831462712
Internal Medicine in Eagle Rock, CA

Active since February 22, 2012
4708 EAGLE ROCK BLVD, EAGLE ROCK, CA 90041(323) 254-3701 Get Directions Write a Review

NPPES record last updated: April 4, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ricardo Roman Md Inc NPPES

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

RICARDO ROMAN MD INC (NPI 1831462712) is a healthcare organization registered as an internal medicine in Eagle Rock, California and active in the NPI registry since February 2012. The organization lists Ricardo Roman, Ceo, as its authorized official.

NPPES Registry Identity

NPI1831462712
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameRICARDO ROMAN MD INC
Location Address4708 EAGLE ROCK BLVDEagle Rock, CA 90041-2712
Mailing Address4708 Eagle Rock BlvdEagle Rock, CA 90041-2712 · (323) 254-3701
Phone(323) 254-3701
Organization SubpartNo
Authorized OfficialRicardo RomanCeo · (323) 254-3701
Enumeration DateFebruary 22, 2012
Last NPPES UpdateApril 4, 2012
✔ NPI 1831462712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4708 EAGLE ROCK BLVD, Eagle Rock, CA 90041
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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 SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ricardo Roman Md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20120608000028Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Ricardo Roman MD Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ricardo Roman, M.D.
Internal Medicine
NPI 1144327032
4708 EAGLE ROCK BLVD
Eagle Rock, CA 90041
(323) 254-3700
✔ PECOS✔ Accepts MedicareSame address

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 Ricardo Roman MD Inc's NPI number?

The NPI number for Ricardo Roman MD Inc is 1831462712. It was assigned to this organization in the NPPES registry on February 22, 2012.

Where is Ricardo Roman MD Inc located?

Ricardo Roman MD Inc is located at 4708 Eagle Rock Blvd, Eagle Rock, CA 90041. The listed phone number is (323) 254-3701.

What is Ricardo Roman MD Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ricardo Roman MD Inc enrolled in Medicare?

Yes. Ricardo Roman MD Inc is registered in the Medicare PECOS enrollment system.

When is Ricardo Roman MD Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Ricardo Roman MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Ricardo Roman MD Inc. 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 Ricardo Roman MD Inc was last updated on April 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.