ROMAN CORTEZ M.D.
NPI 1568496529
Internal Medicine in Ewa Beach, HI
NPI Status: Active since July 10, 2006
Contact Information
91-2141 FORT WEAVER RD
EWA BEACH, HI
ZIP 96706
Phone: (808) 678-7000
- Individual
- Male
- Internal Medicine
- PECOS Enrolled
- Medicare Quality Reporting
About ROMAN CORTEZ
This page provides the complete NPI Profile along with additional information for Roman Cortez, an internist established in Ewa Beach, Hawaii with a medical specialization in Internal Medicine. The healthcare provider is registered in the NPI registry with number 1568496529 assigned on July 2006. The practitioner's primary taxonomy code is 207R00000X with license number 13251 (HI). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1568496529
- Provider Name
- ROMAN CORTEZ M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 91-2141 FORT WEAVER RD EWA BEACH, HI 96706
- Location Phone
- (808) 678-7000
- Mailing Address
- 7271 KANOENOE ST HONOLULU, HI 96825
- Mailing Phone
- (808) 561-0314
- Mailing Fax
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-10-2006
- Last Update Date
- 07-08-2007
- Code Navigator
An internist like Roman Cortez is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 13251
- License State
- HI
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| I49290 | MEDICARE UPIN (02) | HI | |
| 101269 | MEDICARE ID-TYPE UNSPECIFIED (04) | HI | |
| 576522 | MEDICAID (05) | HI |
Medicare Participation & PECOS Enrollment Status
Roman Cortez is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 96706 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $136.68
- Minimum New Patient Price $60.53
- Maximum New Patient Price $180.05
- Average New Patient Copayment $34.17
- Minimum New Patient Copayment $15.13
- Maximum New Patient Copayment $45.01
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $105.65
- Minimum Established Patient Price $20.09
- Maximum Established Patient Price $147.56
- Average Established Patient Copayment $26.41
- Minimum Established Patient Copayment $5.02
- Maximum Established Patient Copayment $36.89
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Care Plan | 100% | 426 |
| Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan | ||
| Documentation of Current Medications in the Medical Record | 100% | 149 |
| Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration | ||
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 6 | 8 | 4 | 9 | 6 | 5 | 2 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 12 | 8 | 8 | 9 | 12 | 5 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 2 + 8 + 8 + 9 + 1 + 2 + 5 + 4 + 24 = 71 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 71 = 9 | 9 | ||||||||
The NPI number 1568496529 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1134197775 | EWA EMERGENCY GROUP LLC Organization | Emergency Medicine | 91-2141 FORT WEAVER RD EWA BEACH, HI 96706 (808) 678-7000 |
| 1174574792 | DR. VALORIE AMMANN MD Individual | Emergency Medicine | 91-2141 FORT WEAVER RD EWA BEACH, HI 96706 (808) 734-7869 |
| 1598718108 | DR. MIN CHAI KENNETH PAK MD Individual | Emergency Medicine | 91-2141 FORT WEAVER RD EWA BEACH, HI 96706 (626) 564-8457 |
| 1235148701 | ALBERT LIN M.D. Individual | Internal Medicine | 91-2141 FORT WEAVER RD EWA BEACH, HI 96706 (808) 678-7000 |
| 1467461954 | LAWRENCE MIYASHIRO M.D. Individual | Internal Medicine | 91-2141 FORT WEAVER RD EWA BEACH, HI 96706 (808) 678-7000 |
| 1225133457 | HAWAII MEDICAL CENTER WEST Organization | General Acute Care Hospital | 91-2141 FORT WEAVER RD EWA BEACH, HI 96706 (808) 678-7100 |
| 1679667497 | SHERRY D COHEN-BERTRAM Individual | Nurse Anesthetist, Certified Registered | 91-2141 FORT WEAVER RD EWA BEACH, HI 96706 (808) 678-7000 |
| 1679692016 | KAREECE GM ZANE RD Individual | Dietitian, Registered | 91-2141 FORT WEAVER RD EWA BEACH, HI 96706 (808) 678-7195 |
| 1073739710 | JAMES M WARNER MD LLC Organization | Internal Medicine | 91-2141 FORT WEAVER RD EWA BEACH, HI 96706 (808) 678-7370 |
| 1134327711 | EMERGENCY MEDICAL CARE WEST Organization | Emergency Medicine | 91-2141 FORT WEAVER RD EWA BEACH, HI 96706 (808) 678-7023 |
| 1598957417 | HAWAII MEDICAL CENTER WEST Organization | Anesthesiology | 91-2141 FORT WEAVER RD EWA BEACH, HI 96706 (808) 678-7000 |
| 1982897740 | IRINA CROOK MD LLC Organization | Internal Medicine | 91-2141 FORT WEAVER RD EWA BEACH, HI 96706 (808) 678-7000 |
| 1922281351 | HAWAII MEDICAL CENTER WEST, LLC Organization | Durable Medical Equipment & Medical Supplies (Parenteral & Enteral Nutrition) | 91-2141 FORT WEAVER RD EWA BEACH, HI 96706 (808) 678-7000 |
| 1104083856 | DRT MEDICAL LLC Organization | Family Medicine | 91-2141 FORT WEAVER RD EWA BEACH, HI 96706 (808) 678-7000 |
| 1427288471 | INPATIENT MEDICAL SPECIALISTS LLC Organization | Hospitalist | 91-2141 FORT WEAVER RD EWA BEACH, HI 96706 (808) 678-7000 |
| 1508183807 | ST. FRANCIS HOSPITAL - EWA Organization | General Acute Care Hospital | 91-2141 FORT WEAVER RD EWA BEACH, HI 96706 (808) 547-8001 |
| 1063717767 | N & M J.D CORP Organization | Hospitalist | 91-2141 FORT WEAVER RD EWA BEACH, HI 96706 (808) 678-7000 |
| 1801189535 | SALVATORE ABBRUZZESE LLC Organization | Internal Medicine | 91-2141 FORT WEAVER RD EWA BEACH, HI 96706 (808) 678-7000 |
| 1255756391 | NORTH SHORE MENTAL HEALTH, INC Organization | Case Management | 91-2141 FORT WEAVER RD EWA BEACH, HI 96706 (808) 638-8700 |
| 1598185357 | THE QUEEN'S MEDICAL CENTER Organization | Pharmacy (Institutional Pharmacy) | 91-2141 FORT WEAVER RD EWA BEACH, HI 96706 (808) 691-3281 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1568496529, enumerated in the NPI registry as an "individual" on July 10, 2006
The provider is located at 91-2141 Fort Weaver Rd Ewa Beach, Hi 96706 and the phone number is (808) 678-7000
The provider's speciality is Internal Medicine with taxonomy code 207R00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $136.68 with an average copayment of $34.17 for new patient appointments. Established patients should expect a typical charge of $105.65 and an average copayment of 26.41. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on July 10, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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