Individual provider Active NPI

John Roche, M.D.

  • Otolaryngology Physician
  • Wilmington, NC
National Provider Identifier
1205837689
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
202502049 Issued in NC
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, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, NC2 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

Enrollment IDStateProvider typePAC IDDetails
I20240805004238 FL Practitioner - Otolaryngology 8022132174 Reassigns benefits to 1 organization
I20250718000478 NC Practitioner - Otolaryngology 8022132174 Reassigns benefits to 1 organization

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
Wilmington Ear Nose and Throat Assoc PAGroup PAC ID 0143200121, 10 clinicians

Practice addresses (Care Compare)

2311 Delaney Ave
Wilmington, NC 28403-6012
Phone 9107628754124

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME165334FLMDOtolaryngology Physician
4301501449MIMDOtolaryngology Physician
202502049NCMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohi West Medical Group, LLC CurrentSince Jul 1, 2024 Accepting new patients
Ohi West Medical Group, LLC CurrentSince Jul 1, 2024 Accepting new patients
Wilmington Ear Nose & Throat Assoc., P.a. Otolaryngology CurrentSince Sep 1, 2025 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

  • Direct secure messaging: jroche@wilmingtonent.emadirect.md
  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.