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Dr. Nicholas Andre San Roman , MD

General Practice β€’ Austin, TX

Active NPI 1356043756 Individual Practitioner Male Practitioner
Practice location in NPPES

1100 W 49th St
Austin, TX 787563126

Call 5127767111 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1100 W 49th St

Austin, TX 787563126

Telephone 5127767111
Organization at the Same NPPES Address or Phone
Department Of State Health Services Facility NPI 1295765469

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Can order Medicare-covered services

CMS lists Dr. San Roman as eligible to order or refer durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Austin and Texas

42 active clinicians are listed under General Practice with a practice address in Austin, TX (1,066 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Austin

0% of these 42 clinicians have the CMS telehealth indicator.

11.9% of these 42 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-07-14
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

License # reported to NPPES TX W1497

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Not Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location July 14, 2026

Registered at 1100 W 49TH ST, AUSTIN, TX 787563126 (Tel: 5127767111)

πŸ“
Updated Business Mailing Address July 14, 2026

Registered at 1100 W 49TH ST, AUSTIN, TX 787563126 (Tel: 5127767111)

πŸ‘€
Provider Name / Credentials Updated July 14, 2026

Recorded as NICHOLAS SAN ROMAN, MD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 14, 2026

General Practice (license number reported to NPPES: TX W1497)

βœ…
NPI Profile Active March 20, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 20, 2023

Registered at 12141 RICHMOND AVE, HOUSTON, TX 770822408 (Tel: 2815888341)

πŸ“
Business Mailing Address (Initial Record) March 20, 2023

Registered at 12141 RICHMOND AVE, HOUSTON, TX 770822408 (Tel: 2815888341)

πŸ‘€
Provider Name / Credentials (Initial Record) March 20, 2023

Recorded as NICHOLAS SAN ROMAN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 20, 2023

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration March 20, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1356043756
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 20, 2023
Last Update: July 14, 2026
Sole Proprietor: No

Other General Practices in Austin

All General Practices in Austin

Mailing Address

1100 W 49th St

Austin, TX 787563126

Phone: 5127767111

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.