NPIMap

Individual provider Active NPI

Thomas Philip Roach, DO

  • Family Medicine Physician
  • Grove City, OH
National Provider Identifier
1336899517
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34.016923 Issued in OH
Practice address
2030 Stringtown Rd Ste 300
Grove City, OH 43123-3993
Phone
(614) 544-0101
Fax
(614) 544-0176
NPI assigned
Mar 28, 2022
Last updated
Nov 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34.016923 OH Primary
Family Medicine Physician 207Q00000X DR.0075964 CO
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

2030 Stringtown Rd Ste 300
Grove City, OH 43123-3993

Mailing address

9250 E Costilla Ave Ste 540
Greenwood Village, CO 80112-3648
Phone (720) 644-9355

Other practice location 1

9250 E Costilla Ave Ste 5409250E
Greenwood Village, CO 80112-3643
Phone (720) 644-9355

Other practice location 2

6905 Hospital Dr Ste 130
Dublin, OH 43016-9600
Phone (614) 923-0300

Other practice location 3

12230 Lioness Way
Parker, CO 80134-5603
Phone (720) 644-9355

Other identifiers 1

IdentifierTypeStateIssuer
0486467MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, CO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240807001771 OH Practitioner - Family Practice 2567849953 Reassigns benefits to 1 organization
I20250911000094 CO Practitioner - Osteopathic Manipulative Medicine 2567849953 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative Medicine
Education
Midwestern University, Chicago College of Osteopathic Med, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Medical Consultants PLLCGroup PAC ID 0547589517, 78 clinicians

Practice addresses (Care Compare)

12230 Lioness Way
Parker, CO 80134-5603
Phone (720) 644-9355

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.16 of 100Reported as group
Quality
79.15
Promoting interoperability
100
Improvement activities
40
Cost
74.72

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0075964COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Consultants PLLC CurrentSince Sep 1, 2025 Accepting new patients
Ohiohealth Urgent Care LLC CurrentSince May 23, 2024 Accepting new patients
Summit Medical Consultants Aco Prof LLC CurrentSince Sep 1, 2025 Accepting new patients
Sweetwater Aurora Opco LLC Past Accepting new patients

Locations

9250 E Costilla Ave
Ste 540
Greenwood Village, CO 80112

12230 Lioness Way
Parker, CO 80134
Phone (720) 214-7777

Dept L3652
Columbus, OH 43260

6905 Hospital Dr
Ste 130
Dublin, OH 43016
Phone (614) 923-0300

2030 Stringtown Rd
Grove City, OH 43123
Phone (614) 566-0987

2030 Stringtown Rd
Ste 300
Grove City, OH 43123
Phone (614) 544-0101

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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 20

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1648425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1336899517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9250 E COSTILLA AVE STE 540",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801123648",
            "telephone_number": "720-644-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 STRINGTOWN RD STE 300",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431233993",
            "telephone_number": "614-544-0101",
            "fax_number": "614-544-0176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9250 E Costilla Ave Ste 5409250E",
            "address_purpose": "LOCATION",
            "city": "Greenwood Village",
            "state": "CO",
            "postal_code": "801123643",
            "country_code": "US",
            "telephone_number": "720-644-9355",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6905 Hospital Dr Ste 130",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "OH",
            "postal_code": "430169600",
            "country_code": "US",
            "telephone_number": "614-923-0300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12230 Lioness Way",
            "address_purpose": "LOCATION",
            "city": "Parker",
            "state": "CO",
            "postal_code": "801345603",
            "country_code": "US",
            "telephone_number": "720-644-9355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROACH",
        "first_name": "THOMAS",
        "middle_name": "PHILIP",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-28",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.016923",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0075964",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0486467",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grove City, OH

Sources for this page

Verify at the official NPI Registry.