Individual provider Active NPI

Michael SP Roach, FNP

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1235436791
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
751075 Issued in TX
Practice address
1514 Lynnview Dr
Houston, TX 77055-3428
Phone
(832) 857-0062
Fax
(346) 299-7263
NPI assigned
Feb 18, 2011
Last updated
May 21, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 212501 LA
Family Nurse Practitioner 363LF0000X 893125 NV
Family Nurse Practitioner 363LF0000X 751075 TX Primary

Addresses

Primary practice location

1514 Lynnview Dr
Houston, TX 77055-3428

Mailing address

325 W 20TH St
Houston, TX 77008-2436
Phone (713) 868-4433

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110511000151 TX Practitioner - Nurse Practitioner 8325224272 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
893125NVMDFamily Nurse Practitioner
751075TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Men's Division NV PLLC Family Current Accepting new patients
Emergency Medicine Services of TX, PLLC CurrentSince Oct 18, 2024 Accepting new patients
Vpa of Texas PLLC CurrentSince Apr 17, 2024 Accepting new patients
CSS Concierge Practice PLLC Family CurrentSince Mar 11, 2025 Accepting new patients
Vpa of Texas PLLC CurrentSince Apr 17, 2024 Accepting new patients
Men's Division Professional Corporation CurrentSince Mar 11, 2025 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Feb 1, 2024 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

11511 FM 1960
Ste 102
Huffman, TX 77336
Phone (281) 324-1550

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

1905 E State Highway 97
Jourdanton, TX 78026
Phone (210) 614-9603

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

12805 W Interstate 10
San Antonio, TX 78249
Phone (210) 575-9805

1310 McCullough Ave
San Antonio, TX 78212
Phone (210) 208-2200

13434 Nacogdoches Rd
San Antonio, TX 78217
Phone (210) 447-7560

3154 SE Military Dr
Ste 103
San Antonio, TX 78223
Phone (210) 337-0911

6402 Mallard Mdw
San Antonio, TX 78244
Phone (210) 757-5000

6700 W Interstate 10
San Antonio, TX 78201
Phone (210) 575-8289

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

9211 Potranco Rd
San Antonio, TX 78251
Phone (210) 575-9211

26306 Kuykendahl Rd
Tomball, TX 77375
Phone (346) 246-7700

Interoperability endpoints

  • Direct secure messaging: metairietotalhealthllp.michaelroach@161351.advancedmd-direct.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1297987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1235436791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 W 20TH ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770082436",
            "telephone_number": "713-868-4433",
            "fax_number": "713-868-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 LYNNVIEW DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770553428",
            "telephone_number": "832-857-0062",
            "fax_number": "346-299-7263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROACH",
        "first_name": "MICHAEL",
        "middle_name": "SP",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-18",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "212501",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "893125",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "751075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.