James P Roach, MD
Individual provider Active NPI Family Medicine Physician · Midway, KY
NPI 1619978830 · NPPES record last updated Jun 18, 2010
Key facts
- NPI
- 1619978830
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 21321 (KY)
- Practice address
- 129 S Winter St
Midway, KY 40347-1015 - Phone
- (859) 846-4445
- Fax
- (859) 846-4761
- NPI assigned
- Aug 10, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Kentucky College of Medicine, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Roach Fisher and Roach PLLC
Practice addresses (Care Compare)
129 S Winter St
Midway, KY 40347-5002
Phone (859) 846-4453
Hospital & facility affiliations
- Saint Joseph East
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110323000840 | KY | Practitioner - Family Practice | 1759365935 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anderson Family Health Care, PLLC | Family Medicine | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 21321 | KY | Yes |
Addresses
Primary practice location
129 S Winter St
Midway, KY 40347-1015
Mailing address
PO Box 277
Midway, KY 40347-0277
Phone (859) 846-4445
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64213218 | Medicaid | KY |
Other providers in Midway, KY
- John A. Moore
- Haylee O. Nuckols
- Emma Ramsey
- Rachel A Riley
- Roach Fisher and Roach PLLC
- Kelsey Ross
- Sarah Houp Sallee
- Susan P Schweder
- Serenitee at Its Best
- Jennifer J. Smith
All providers in Midway, KY · Family Medicine Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.