Individual provider Active NPI

Niall E Roche

  • Specialist
  • Pleasanton, CA
National Provider Identifier
1194755918
Registry record updated Jan 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A52808 Issued in CA
Practice address
5565 W Las Positas Blvd
Ste 310
Pleasanton, CA 94588-4001
Phone
(925) 924-9100
Fax
(925) 924-9102
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A52808 CA Primary

Addresses

Primary practice location

5565 W Las Positas Blvd
Ste 310
Pleasanton, CA 94588-4001

Mailing address

5565 W Las Positas Blvd
Ste 310
Pleasanton, CA 94588-4001
Phone (925) 924-9100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20081204001021 CA Practitioner - Rheumatology 0042114209 Practice locations: Pleasanton, CA

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5565 W Las Positas Blvd
Suite 310
Pleasanton, CA 94588-4001
Phone (925) 924-9100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
24.04 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
80.13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A52808CAMDSpecialist
52808CAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Niall E. Roche Specialist CurrentSince Jan 1, 1990 Accepting new patients

Locations

5565 W Las Positas Blvd
Ste 310
Pleasanton, CA 94588
Phone (925) 924-9100

Organizations & group practices 1

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 2

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231804800000",
    "number": "1194755918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5565 W LAS POSITAS BLVD",
            "address_2": "STE 310",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945884001",
            "telephone_number": "925-924-9100",
            "fax_number": "925-924-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5565 W LAS POSITAS BLVD",
            "address_2": "STE 310",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945884001",
            "telephone_number": "925-924-9100",
            "fax_number": "925-924-9102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCHE",
        "first_name": "NIALL",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2009-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A52808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

Verify at the official NPI Registry.