NPIMap

Individual provider Active NPI

Dee Alan Roach, M.D.

  • Family Medicine Physician
  • Colorado City, TX
National Provider Identifier
1275542854
Registry record updated Apr 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G5542 Issued in TX
Practice address
997 W Interstate 20
Family Medical Associates
Colorado City, TX 79512-2685
Phone
(325) 728-2963
Fax
(325) 728-2420
NPI assigned
Aug 5, 2006
Last updated
Apr 28, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G5542 TX Primary

Addresses

Primary practice location

997 W Interstate 20
Family Medical Associates
Colorado City, TX 79512-2685

Mailing address

997 W Interstate 20
Family Medical Associates
Colorado City, TX 79512-2685
Phone (325) 728-2963

Other identifiers 2

IdentifierTypeStateIssuer
110416801MedicaidTX
87T821OtherTXBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20080226000588 TX Practitioner - Family Practice 9436233731 Reassigns benefits to 2 organizations
Practice locations: Colorado City, TX

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Texas a & M University System, HSC, College of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

997 W Interstate 20
Colorado City, TX 79512-2685
Phone 32572885227590

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mitchell County Hospital District Family Medicine CurrentSince Oct 1, 2007 Accepting new patients
Mitchell County Hospital District CurrentSince Oct 1, 2007 Accepting new patients
Mitchell County Hospital District Past Accepting new patients

Locations

997 W Interstate 20
Colorado City, TX 79512
Phone (325) 728-3431

Interoperability endpoints

  • Direct secure messaging: deearoach@directaddress.net
  • FHIR API: https://fhir-usa.unify.chbase.com/org/mitchco-ec738402

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mitchell County Nursing and Rehabilitation CenterColorado City, TX, CCN 676225 Skilled nursing facility Adp of the SNF Jan 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 8

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398643200000",
    "number": "1275542854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "997 W INTERSTATE 20",
            "address_2": "FAMILY MEDICAL ASSOCIATES",
            "city": "COLORADO CITY",
            "state": "TX",
            "postal_code": "795122685",
            "telephone_number": "325-728-2963",
            "fax_number": "325-728-2420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "997 W INTERSTATE 20",
            "address_2": "FAMILY MEDICAL ASSOCIATES",
            "city": "COLORADO CITY",
            "state": "TX",
            "postal_code": "795122685",
            "telephone_number": "325-728-2963",
            "fax_number": "325-728-2420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROACH",
        "first_name": "DEE",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2014-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G5542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110416801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "87T821",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado City, TX

Sources for this page

Verify at the official NPI Registry.