Active NPI
Alexandra Roach, MD
- Internal Medicine Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 76159
- Practice address
- 1300 N 12TH St Ste 508
Phoenix, AZ 85006-2849 - Phone
- (602) 839-3927
- NPI assigned
- Apr 5, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 76159 | AZ | Primary |
Addresses
Primary practice location
1300 N 12TH St Ste 508
Phoenix, AZ 85006-2849
Mailing address
1300 N 12TH St Ste 203
Phoenix, AZ 85006-2848
Phone (602) 839-3927
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260603001125 | DE | Order and Referring Only - Hematology/Oncology | 4486035540 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 76159 | AZ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner - University Hospital Based Physicians LLC | Current | Accepting new patients | |
| Banner Hospital Based Physicians Arizona LLC | Current | Accepting new patients | |
| Banner Cancer Center Specialists LLC | Current | Accepting new patients | |
| Banner -- University Primary Care Physicians LLC | Current | Accepting new patients | |
| Banner Cancer Center Specialists LLC | Current | Accepting new patients | |
| Banner - University Hospital Based Physicians LLC | Current | Accepting new patients | |
| Banner Hospital Based Physicians Arizona LLC | Current | Accepting new patients | |
| Banner Hospital Based Physicians Arizona LLC | Current | Accepting new patients |
Locations
2946 E Banner Gateway Dr
Rm 2008
Gilbert, AZ 85234
Phone (480) 256-4523
2946 E Banner Gateway Dr
Gilbert, AZ 85234
Phone (480) 256-5450
1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000
1300 N 12th St
Ste 500
Phoenix, AZ 85006
Phone (602) 839-2606
1300 N 12th St
Ste 508
Phoenix, AZ 85006
Phone (602) 839-3927
1300 N 12th St
Ste 203
Phoenix, AZ 85006
Organizations & group practices 8
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.
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1538879481
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1750751566
-
- Primary Care Clinic/Center
- Payson, AZ
- NPI 1154791960
-
- Oncology Clinic/Center
- Phoenix, AZ
- NPI 1518253152
-
- Oncology Clinic/Center
- Payson, AZ
- NPI 1588158448
-
- Multi-Specialty Clinic/Center
- Gilbert, AZ
- NPI 1124374822
-
- Multi-Specialty Clinic/Center
- San Tan Valley, AZ
- NPI 1275889891
-
- Critical Care Medicine (Internal Medicine) Physician
- Phoenix, AZ
- NPI 1780445171
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748304000000",
"number": "1437890647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 N 12TH ST STE 203",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850062848",
"telephone_number": "602-839-3927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 N 12TH ST STE 508",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850062849",
"telephone_number": "602-839-3927"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROACH",
"first_name": "ALEXANDRA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-05",
"last_updated": "2025-05-27",
"certification_date": "2025-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "76159",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.