Active NPI
John Roche, M.D.
- Otolaryngology Physician
- Wilmington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 202502049
- Practice address
- 2311 Delaney Ave
Wilmington, NC 28403-6012 - Phone
- (910) 762-8754
- Fax
- (910) 762-0778
- NPI assigned
- Aug 9, 2005
- Last updated
- Jul 30, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 202502049 | NC | Primary |
| Otolaryngology Physician | 207Y00000X | ME165334 | FL | |
| Otolaryngology Physician | 207Y00000X | 4301501449 | MI |
Addresses
Primary practice location
2311 Delaney Ave
Wilmington, NC 28403-6012
Mailing address
2311 Delaney Ave
Wilmington, NC 28403-6012
Phone (910) 762-8754
Other practice location 1
8115 Market St Ste 200
Wilmington, NC 28411-8430
Phone (910) 681-1488
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Drexel University College of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2311 Delaney Ave
Wilmington, NC 28403-6012
Phone 9107628754124
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME165334 | FL | MD | Otolaryngology Physician |
| 4301501449 | MI | MD | Otolaryngology Physician |
| 202502049 | NC | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohi West Medical Group, LLC | Current | Accepting new patients | |
| Ohi West Medical Group, LLC | Current | Accepting new patients | |
| Wilmington Ear Nose & Throat Assoc., P.a. | Otolaryngology | Current | Accepting new patients |
Locations
601 7th St S
St Petersburg, FL 33701
Phone (727) 572-0900
601 7th St S
Ste 295
St Petersburg, FL 33701
701 6th St S
St Petersburg, FL 33701
Phone (727) 450-1144
2311 Delaney Ave
Wilmington, NC 28403
Phone (910) 762-8754
8115 Market St
Ste 200
Wilmington, NC 28411
Phone (910) 681-1488
Interoperability endpoints
- jroche@wilmingtonent.emadirect.md
- jroche258665@epic00.corewelldirect.org
Organizations & group practices 3
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.
-
dba Bayfront Health St. Petersburg Medical Group
- Cardiovascular Disease Physician
- St Petersburg, FL
- NPI 1518572551
-
dba Bayfront Health St. Petersburg Imaging Center
- Radiology Clinic/Center
- St Petersburg, FL
- NPI 1285240192
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Novant Health New Hanover Regional Medical Center
- General Acute Care Hospital
- Wilmington, NC
- NPI 1376139139
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753833600000",
"number": "1205837689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2311 DELANEY AVE",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284036012",
"telephone_number": "910-762-8754",
"fax_number": "910-762-0778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2311 DELANEY AVE",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284036012",
"telephone_number": "910-762-8754",
"fax_number": "910-762-0778"
}
],
"practiceLocations": [
{
"address_1": "8115 Market St Ste 200",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "284118430",
"country_code": "US",
"telephone_number": "910-681-1488",
"fax_number": "910-762-0778",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROCHE",
"first_name": "JOHN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-09",
"last_updated": "2025-07-30",
"certification_date": "2025-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NC",
"license": "202502049",
"primary": true
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "FL",
"license": "ME165334",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "MI",
"license": "4301501449",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; 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.