Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1356043756 Individual Practitioner Male Practitioner

Dr. Nicholas Andre San Roman , MD

General Practice • Austin, TX

Professional Overview & Biography Verified Profile Summary

Dr. Nicholas San Roman, MD is a registered healthcare professional specializing in General Practice in Austin, TX. Practice services are available at 1100 W 49TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1100 W 49th St

Austin, TX 787563126

Telephone 5127767111
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Austin, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 31.0 Yrs
State Avg: 27.9 Yrs
Regional Practice Density
47 Specialists

Practicing in Austin, TX (1183 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-07-14
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License TX W1497

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

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Dr. Adolfo Valadez , MD

Internal Medicine

NPI 1043455322

Doctor of Medicine (M.D.)

Dr. Vy Nguyen , DDS

Dentist - General Practice

NPI 1053549097

Doctor of Dental Surgery

Umoh Cloud , RN

Case Manager/Care Coordinator

NPI 1164981874

Registered Nurse

Dr. Alexis Farmer , MD

Preventive Medicine - Public Health & General Preventive Medicine

NPI 1356084636

Doctor of Medicine (M.D.)

Dr. Manda Hall , MD

Allergy & Immunology

NPI 1417976788

Doctor of Medicine (M.D.)

NPI 1487771457

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location July 14, 2026

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

📍
Updated Business Mailing Address July 14, 2026

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

👤
Provider Name / Credentials Updated July 14, 2026

Recorded as NICHOLAS SAN ROMAN, MD

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

General Practice (License #W1497 in TX)

NPI Profile Active March 20, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location March 20, 2023

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

📍
Updated Business Mailing Address March 20, 2023

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

👤
Provider Name / Credentials Updated March 20, 2023

Recorded as NICHOLAS SAN ROMAN

🎓
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.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Mailing Address

1100 W 49th St

Austin, TX 787563126

Phone: 5127767111

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.