Individual provider Active NPI

Alesha N Roach, M.D.

  • Obstetrics & Gynecology Physician
  • Minnetonka, MN
National Provider Identifier
1407236599
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
66191 Issued in MN
Practice address
14001 Ridgedale Dr Ste 200
Minnetonka, MN 55305-1747
Phone
(952) 249-2000
NPI assigned
Jun 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 66191 MN Primary

Addresses

Primary practice location

14001 Ridgedale Dr Ste 200
Minnetonka, MN 55305-1747

Mailing address

14001 Ridgedale Dr Ste 200
Minnetonka, MN 55305-1747
Phone (952) 249-2000

Other names 1

  • Alesha N Prior Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20190827002707 MN Practitioner - Obstetrics/Gynecology 8224332176 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier OBGYN of Minnesota PLLCGroup PAC ID 1355396110, 88 clinicians

Practice addresses (Care Compare)

14001 Ridgedale Dr
Suite 200
Minnetonka, MN 55305-1747
Phone 95224920000

Merit-based Incentive Payment System (MIPS)

Final score
87.24 of 100Reported as group
Quality
86.35
Promoting interoperability
100
Improvement activities
40
Cost
71.1

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
66191MNMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier OBGYN of Minnesota PLLC Obstetrics & Gynecology CurrentSince Mar 31, 2021 Accepting new patients
Ridgeview Medical Center PastSince Mar 31, 2021 Accepting new patients
Fairview Health Services Past Accepting new patients
Metropolitan Obstetrics & Gynecology Obstetrics & Gynecology PastSince Mar 31, 2021 Accepting new patients
Ridgeview Medical Center Past Accepting new patients

Locations

111 Hundertmark Rd
Ste 410
Chaska, MN 55318
Phone (952) 249-2000

111 Hundertmark Rd
Ste 440
Chaska, MN 55318
Phone (952) 249-2000

14001 Ridgedale Dr
Ste 200
Minnetonka, MN 55305
Phone (952) 249-2000

560 S Maple St
Ste 220
Waconia, MN 55387
Phone (952) 442-8011

Interoperability endpoints

  • Direct secure messaging: alesha.roach.1@20897.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1407236599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14001 RIDGEDALE DR STE 200",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553051747",
            "telephone_number": "952-249-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14001 RIDGEDALE DR STE 200",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553051747",
            "telephone_number": "952-249-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROACH",
        "first_name": "ALESHA",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-03",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MN",
            "license": "66191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALESHA",
            "last_name": "PRIOR",
            "middle_name": "N",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Minnetonka, MN

Sources for this page

Verify at the official NPI Registry.