Individual provider Active NPI

Zeidy Roche, MD

  • Nephrology Physician
  • Fort Pierce, FL
National Provider Identifier
1316972862
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME63444 Issued in FL
Practice address
2501 Ohio Ave
Fort Pierce, FL 34947-4761
Phone
(772) 468-7212
Fax
(772) 468-7213
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X ME63444 FL Primary

Addresses

Primary practice location

2501 Ohio Ave
Fort Pierce, FL 34947-4761

Mailing address

2501 Ohio Ave
Fort Pierce, FL 34947-4761
Phone (772) 468-7212

Other identifiers 1

IdentifierTypeStateIssuer
377659000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050321000732 FL Practitioner - NephrologyPractitioner - Internal Medicine 1254386410 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Ohio State University College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2501 Ohio Ave
Fort Pierce, FL 34947-4761

Hospital & facility affiliations

  • Rai Care Centers - Fort Pierce Dialysis facility, Fort Pierce, FL, CCN 102574
  • Rai Care Centers - Port Saint Lucie Dialysis facility, Port Saint Lucie, FL, CCN 102603
  • HCA Florida Lawnwood Hospital Hospital, Fort Pierce, FL, CCN 100246
  • Cleveland Clinic Martin North Hospital Hospital, Stuart, FL, CCN 100044

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
94.67
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Zeidy Roche MD PA Nephrology CurrentSince Jul 16, 1998 Accepting new patients

Locations

2501 Ohio Ave
Fort Pierce, FL 34947
Phone (772) 465-6551

1420 SW Saint Lucie West Blvd
Ste 103
Port St Lucie, FL 34986
Phone (561) 296-1188

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CFIGAD
  • FHIR API: https://fhir4.healow.com/fhir/r4/CFIGAD/Endpoint/CFIGAD

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316972862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 OHIO AVE",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349474761",
            "telephone_number": "772-468-7212",
            "fax_number": "772-468-7213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 OHIO AVE",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349474761",
            "telephone_number": "772-468-7212",
            "fax_number": "772-468-7213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCHE",
        "first_name": "ZEIDY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME63444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "377659000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

Verify at the official NPI Registry.