Martin G Roach, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DO866 Issued in AL

Practice address

7667 Al Highway 51 Ste B
Opelika, AL 36804-2200

Phone

(334) 737-5557

Fax

(334) 727-5646

NPI assigned

Sep 15, 2006

Last updated

Apr 22, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: martinroach@ccm-al.direct.office.nextgen.com

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

• Cary Creek Medical PC

  dba Beauregard Clinic

  • Primary Care Clinic/Center
  • Opelika, AL
  • NPI 1265687818
  Authorized official Same address or phone
• Community Hospital Inc

  • Rural Acute Care Hospital
  • Tallassee, AL
  • NPI 1730120726
  NPD
• Gamper Holdings, LLC

  • Primary Care Clinic/Center
  • Opelika, AL
  • NPI 1194408922
  NPD (past)
• Epmg of Michigan, P.C.

  • Emergency Medicine Physician
  • Livonia, MI
  • NPI 1386688992
  NPD (past)
• Monroe Emergency Physicians

  • Emergency Medicine Physician
  • Monroe, MI
  • NPI 1639103393
  NPD (past)

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555891200000",
    "number": "1043316466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7667 AL HWY 51 SUITE B",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "36801",
            "telephone_number": "334-737-5557",
            "fax_number": "334-737-5646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7667 AL HIGHWAY 51 STE B",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368042200",
            "telephone_number": "334-737-5557",
            "fax_number": "334-727-5646"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2900 E University Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "AL",
            "postal_code": "368307720",
            "country_code": "US",
            "telephone_number": "334-502-2440",
            "fax_number": "334-502-2460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROACH",
        "first_name": "MARTIN",
        "middle_name": "G",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2019-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "DO866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "263751277",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51595037",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jared Riley
• Kelly Maureen Riley, PT
• William Jennings Bryan Riley II, MA
• Alejandro Rios, DC
• Sarah Anne Rivera, ATC, LAT
• Robert W DMD Huskey
• Holly E Roberts, NP
• Kaycee Colon Roberts, PH.D., LPC, NCC
• Tracy R Roberts, RBT
• Britney Robinson, CRNP

• Family Medicine Physician in Opelika, AL
• Providers in Opelika, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.