DIANA ROMAN – Internal Medicine Physician, NPI 1124412564

DIANA ROMAN is a healthcare provider. based in Bradenton, Florida. specializing in INTERNAL MEDICINE. They hold a License No. ME134618 (FL). The NPI Number for DIANA ROMAN is 1124412564

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
DIANA ROMAN
NPI
1124412564
Phone
(941) 357-7950
Address
1505 53RD AVE E
Enumeration Date
24 March 2015
Last Update Date
8 April 2026

Doctor Profile

Medical School Name
UNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Secondary Phone
9413009111
Graduation Year
2015 (11 years ago)
PAC ID
6406101880
Group Practice PAC ID
5698217115
Professional Enrollment ID
I20180626003395
Address ID
FL342298901OS1307XTRLX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:11State licenses:1Digital endpointsOther names

12,378 INTERNAL MEDICINE in FL

Provider Addresses for DIANA ROMAN

  • 1505 53RD AVE E

    BRADENTON, FL 34203

    Phone: (941) 357-7950

    Type: Mailing

  • 601 S HARBOUR ISLAND BLVD STE 200

    TAMPA, FL 336025925

    Phone: (727) 322-3439

    Fax: (800) 928-7449

    Type: Mailing

  • 4250 BEE RIDGE RD

    SARASOTA, FL 342332563

    Phone: (941) 926-8855

    Fax: (844) 388-6186

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2023-11-09 • Largest payer in this snapshot: ABBVIE INC. ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-09

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$16
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-06-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180626003395IInternal MedicineFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34203)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5698217115View full group profile
NameSpecialtyState
P O D I A T R YFL
N E U R O L O G YFL
O B S T E T R I C S/ G Y N E C O L O G YFL
Diagnostic RadiologyFL
Family PracticeIL

Reviews

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Frequently asked questions

Does DIANA ROMAN share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DIANA ROMAN uses 1124412564.
Can I rely on DIANA ROMAN being an active provider?
As of the registry snapshot, DIANA ROMAN is marked active.
What taxonomy line describes DIANA ROMAN?
For research purposes, treat DIANA ROMAN as Internal Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does DIANA ROMAN serve?
DIANA ROMAN's listing highlights Bradenton, Florida; more addresses can appear in NPPES.
Why does DIANA ROMAN have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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