NPIMap

Individual provider Active NPI

Paul Byron Roache, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • San Francisco, CA
National Provider Identifier
1255362919
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
A48445 Issued in CA
Practice address
45 Castro St Ste 337
San Francisco, CA 94114-1019
Phone
(415) 447-0495
Fax
(415) 447-0467
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X A48445 CA Primary

Addresses

Primary practice location

45 Castro St Ste 337
San Francisco, CA 94114-1019

Mailing address

2269 Chestnut St
#975
San Francisco, CA 94123-2600
Phone (415) 447-0495

Other practice location 1

1 Daniel Burnham Ct
Ste. 365C
San Francisco, CA 94109-5455
Phone (415) 447-0495

Other practice location 2

1 Daniel Burnham Ct
Ste. 365C
San Francisco, CA 94109-5455
Phone (415) 447-0495

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080410000480 CA Practitioner - Orthopedic Surgery 4183717069 Practice locations: San Francisco, CA; Sonoma, CA

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Arizona College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

651 1St St W
Suite M
Sonoma, CA 95476-7046
Phone (415) 447-0495

909 Hyde St
Suite 501
San Francisco, CA 94109-4853
Phone (415) 447-0495

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)25

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A48445CAMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
UCSF Health Community Hospitals Past Accepting new patients
Hill Physicians Care Solutions, Inc. Past Accepting new patients
Saint Francis Medical Center Past Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
DHP of Sierra Nevada Medical Group Inc Past Accepting new patients
Gunnison Valley Hospital Past Accepting new patients
Elwood Paul Reid MD Inc Sports Medicine Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Gunnison Valley Hospital Past Accepting new patients
San Francisco Multispecialty Medical Group Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 11

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 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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1255362919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2269 CHESTNUT ST",
            "address_2": "#975",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941232600",
            "telephone_number": "415-447-0495",
            "fax_number": "415-447-0467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 CASTRO ST STE 337",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941141019",
            "telephone_number": "415-447-0495",
            "fax_number": "415-447-0467"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Daniel Burnham Ct",
            "address_2": "Ste. 365C",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941095455",
            "country_code": "US",
            "telephone_number": "415-447-0495",
            "fax_number": "415-447-0467",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Daniel Burnham Ct",
            "address_2": "Ste. 365C",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941095455",
            "country_code": "US",
            "telephone_number": "415-447-0495",
            "fax_number": "415-447-0467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROACHE",
        "first_name": "PAUL",
        "middle_name": "BYRON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "A48445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.