Kyle V Roach, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

MD34252 Issued in TN

Practice address

2341 McCallie Ave
Suite 402
Chattanooga, TN 37404-3239

Phone

(423) 698-3309

Fax

(423) 624-6355

NPI assigned

Feb 22, 2006

Last updated

Sep 17, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TN, GA2 enrollments

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 2

Specialty

Anesthesiology

Education

Medical University of South Carolina College of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Georgia Anesthesia Services PCGroup PAC ID 2769800515, 44 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hamilton Medical Center Hospital, Dalton, GA, CCN 110001

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

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.

• North Georgia Anesthesia Services PC

  • Anesthesiology Physician
  • Dalton, GA
  • NPI 1114545431
  Medicare reassignment Care Compare group NPD
• Anesthesia Medical Group, PC

  • Anesthesiology Physician
  • Nashville, TN
  • NPI 1215932413
  Medicare reassignment NPD
• Ut Regional One Physicians Inc

  • Surgery Physician
  • Memphis, TN
  • NPI 1093130585

  Anesthesiology

  Medicare reassignment NPD
• Georgia Group Services, LLC

  • Anesthesiology Physician
  • Rome, GA
  • NPI 1093947236
  Medicare reassignment NPD
• TMC-West Georgia Anesthesia Associates Inc.

  • Anesthesiology Physician
  • Carrollton, GA
  • NPI 1740252022
  Medicare reassignment NPD
• Ut Regional One Physicians Inc

  • Anesthesiology Physician
  • Memphis, TN
  • NPI 1285042028
  NPD
• Georgia Group Services, LLC

  • Anesthesiology Physician
  • Cedartown, GA
  • NPI 1952704942
  NPD
• American Anesthesiology of Tennessee, P.C.

  • Anesthesiology Physician
  • Knoxville, TN
  • NPI 1609822998
  NPD (past)
• Anesthesiologists Associated PC

  • Certified Registered Nurse Anesthetist
  • Chattanooga, TN
  • NPI 1043278443
  NPD (past)
• Anesthesiologists Associated PC

  • Anesthesiology Physician
  • Chattanooga, TN
  • NPI 1518923705
  NPD (past)
• Specialists in Pain Management, PLLC Dba Spine & Pain Associates

  • Interventional Pain Medicine Physician
  • Chattanooga, TN
  • NPI 1447203922
  NPD (past)

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

• Hamilton Medical Center, Inc.

  • General Acute Care Hospital
  • Dalton, GA
  • NPI 1528056066
  Care Compare affiliation
• Hamilton Medical Center, Inc.

  • Psychiatric Hospital Unit
  • Dalton, GA
  • NPI 1760645782
  Care Compare affiliation
• Hamilton Physician Group Inc

  • Cardiovascular Disease Physician
  • Dalton, GA
  • NPI 1235455569

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379376000000",
    "number": "1053386151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3549",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374040549",
            "telephone_number": "423-698-3309",
            "fax_number": "423-624-6355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2341 MCCALLIE AVE",
            "address_2": "SUITE 402",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374043239",
            "telephone_number": "423-698-3309",
            "fax_number": "423-624-6355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROACH",
        "first_name": "KYLE",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2013-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TN",
            "license": "MD34252",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "MD45115",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "3152236",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF TN",
            "identifier": "4347082",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3852604",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Anesthesiology Physician in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Anesthesiology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2013; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.