Individual provider Active NPI

Laura Emily Roache, D.O.

  • Internal Medicine Physician
  • Newark, OH
National Provider Identifier
1003297383
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34.013946 Issued in OH
Practice address
120 McMillen Dr
Newark, OH 43055-1809
Phone
(220) 564-4805
Fax
(220) 564-4811
NPI assigned
Jun 12, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X LL37693 SC
Internal Medicine Physician 207R00000X 34.013946 OH Primary

Addresses

Primary practice location

120 McMillen Dr
Newark, OH 43055-1809

Mailing address

5450 Frantz Rd Ste 360
Dublin, OH 43016-4141

Other practice location 1

701 Grove Rd
5th Floor Support Tower
Greenville, SC 29605-4210
Phone (864) 455-7882

Other practice location 2

7853 Pacer Dr Ste 3A
Delaware, OH 43015-7571
Phone (614) 788-9030

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lroache35721@lickingmemorial.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190613003327 OH Practitioner - Internal Medicine 1052628930 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Ohio University, College of Osteopathic Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

120 McMillen Dr
Newark, OH 43055-1809
Phone (220) 564-4806

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.98 of 100Reported as group
Quality
75.66
Promoting interoperability
100
Improvement activities
40
Cost
75.38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
LL37693SCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marion Area Physicians LLC Internal Medicine CurrentSince Jul 1, 2022 Accepting new patients
Licking Memorial Health Professionals CurrentSince Nov 1, 2023 Accepting new patients
Licking Memorial Hospital Current Accepting new patients
Ohiohealth Corporation Internal Medicine CurrentSince Jul 1, 2019 Accepting new patients
Ohiohealth Corporation CurrentSince Jul 1, 2019 Accepting new patients
Licking Memorial Professional Corporation CurrentSince Nov 1, 2023 Accepting new patients
Licking Memorial Professional Corp. Past Accepting new patients
Licking Memorial Professional Corp. Past Accepting new patients

Locations

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

Dept L3652
Columbus, OH 43260

7853 Pacer Dr
Ste 3A
Delaware, OH 43015
Phone (614) 533-3470

7853 Pacer Dr
Delaware, OH 43015
Phone (614) 355-7900

5450 Frantz Rd
Ste 360
Dublin, OH 43016
Phone (614) 533-6497

1040 Delaware Ave
Marion, OH 43302
Phone (330) 256-9874

120 McMillen Dr
Newark, OH 43055
Phone (220) 564-4806

Networks

  • OH PPO
  • devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6

Interoperability endpoints

  • Direct secure messaging: lroache@lickingmemorial.medicity.net

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1434067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1003297383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5450 FRANTZ RD STE 360",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430164141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MCMILLEN DR",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430551809",
            "telephone_number": "220-564-4805",
            "fax_number": "220-564-4811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Grove Rd",
            "address_2": "5th Floor Support Tower",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296054210",
            "country_code": "US",
            "telephone_number": "864-455-7882",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7853 Pacer Dr Ste 3A",
            "address_purpose": "LOCATION",
            "city": "Delaware",
            "state": "OH",
            "postal_code": "430157571",
            "country_code": "US",
            "telephone_number": "614-788-9030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROACHE",
        "first_name": "LAURA",
        "middle_name": "EMILY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-12",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "LL37693",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34.013946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lroache35721@lickingmemorial.medicity.net",
            "affiliation": "N",
            "address_1": "120 McMillen Dr",
            "city": "Newark",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430551809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newark, OH

Sources for this page

Verify at the official NPI Registry.