Individual provider Active NPI

Charles Lawrence Roche, MD

  • Diagnostic Radiology Physician
  • Buffalo, NY
National Provider Identifier
1639168677
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
229224-1 Issued in NY
Practice address
Elm and Carlton St
Buffalo, NY 14263-0001
Phone
(716) 845-2300
Fax
(716) 845-8818
NPI assigned
Oct 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 229224-1 NY Primary

Addresses

Primary practice location

Elm and Carlton St
Buffalo, NY 14263-0001

Mailing address

Elm and Carlton St
Buffalo, NY 14263-0001
Phone (716) 845-2300

Other identifiers 1

IdentifierTypeStateIssuer
02556967MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL, PA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20040614001602 NY Practitioner - Diagnostic Radiology 3577547942 Reassigns benefits to 12 organizations
I20241121004616 FL Practitioner - Diagnostic Radiology 3577547942 Reassigns benefits to 4 organizations
I20251111001023 PA Practitioner - Diagnostic Radiology 3577547942 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
State University of New York at Buffalo School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lenox Hill Radiology and Medical Imaging Associates PCGroup PAC ID 2264424712, 245 clinicians
Florida Radiology Imaging at Lake Mary LLCGroup PAC ID 1254311137, 273 clinicians
Optum Medical Care PCGroup PAC ID 9931013240, 1,013 clinicians
Western New York MRI LLPGroup PAC ID 4082684378, 11 clinicians
Florida Hospital Medical Group IncGroup PAC ID 0042383200, 329 clinicians
Radiologists of Univ of RochesterGroup PAC ID 6800700170, 140 clinicians

Practice addresses (Care Compare)

1 Saredon PL
Suite 200
Rochester, NY 14606-4063
Phone (212) 772-3111

1480 W Orange Blossom TRL
Adventhealth Imaging Apopka
Apopka, FL 32712-2637
Phone (407) 200-5440

1551 Future Way
Adventhealth Imaging
Celebration, FL 34747-4489
Phone (407) 303-4041

15636 A Crossbay Blvd
Howard Beach, NY 11414-2745
Phone (718) 738-0700

1919 E Hwy 50 101
Adventhealth Imaging Center Clermon
Clermont, FL 34711-1975
Phone (352) 717-3738

222 Genesee St
Buffalo, NY 14203-1512
Phone (716) 855-2866

235 E Princeton St
Suite 100
Orlando, FL 32804-5554
Phone (407) 303-1414

41 Belmore CT
Buffalo, NY 14228-1486
Phone (407) 200-2355

601 Elmwood Ave
Rochester, NY 14642-0002
Phone (585) 275-2734

661 E Altamonte Dr
Suite 130
Altamonte Springs, FL 32701-5102
Phone (407) 303-2155

90 S Bedford Rd
Mount Kisco, NY 10549-3412
Phone (914) 241-1050

Hospital & facility affiliations

  • Strong Memorial Hospital Hospital, Rochester, NY, CCN 330285
  • Adventhealth Waterman Hospital, Tavares, FL, CCN 100057
  • Adventhealth Daytona Beach Hospital, Daytona Beach, FL, CCN 100068
  • Nicholas H Noyes Memorial Hospital Hospital, Dansville, NY, CCN 330238
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
229224-1NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Radiology Imaging at Lake Mary, LLC Diagnostic Radiology CurrentSince Nov 18, 2024 Accepting new patients
Frank Olney & Rudy Nicolas PTRS Diagnostic Radiology CurrentSince Mar 26, 2025 Accepting new patients
Roswell Park Cancer Institute CurrentSince Nov 15, 2008 Accepting new patients
Regional Gastroenterology Associates of Lancaster, LTD. CurrentSince Sep 1, 2025 Accepting new patients
Southside Faculty Medical Affiliates University Faculty Practice Corp CurrentSince Dec 1, 2024 Accepting new patients
Regional Gastroenterology Associates of Lancaster, LTD. CurrentSince Sep 1, 2025 Accepting new patients
Optum Medical Care, P.C. CurrentSince Oct 1, 2024 Accepting new patients
Radiologists of Univ of Rochester Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Florida Radiology Imaging at Lake Mary, LLC CurrentSince Nov 18, 2024 Accepting new patients
Independent Physicians Medical Center, LLC Diagnostic Radiology CurrentSince Oct 1, 2024 Accepting new patients
Zwanger & Pesiri Radiology Group, LLP Diagnostic Radiology CurrentSince May 1, 2025 Accepting new patients
Florida Hospital Medical Group Inc Diagnostic Radiology CurrentSince Nov 18, 2024 Accepting new patients
Hudson Valley Radiology Associates PLLC Diagnostic Radiology CurrentSince Oct 1, 2024 Accepting new patients
Lenox Hill Radiology & Medical Imaging Associates, PC Diagnostic Radiology CurrentSince Oct 1, 2024 Accepting new patients
Orthopaedic & Neurosurgery Specialists, PLLC CurrentSince Aug 15, 2024 Accepting new patients
Midatlantic Endoscopy LLC Current Accepting new patients
Orthopaedic & Neurosurgery Specialists, PLLC CurrentSince Aug 15, 2024 Accepting new patients
North Shore-Lij Medical PC CurrentSince Dec 1, 2024 Accepting new patients
Optum Medical Care, P.C. Diagnostic Radiology CurrentSince Oct 1, 2024 Accepting new patients
Roswell Park Cancer Institute CurrentSince Nov 15, 2008 Accepting new patients
Northern Radiology Associates, PC Diagnostic Radiology PastSince Feb 21, 2021 Accepting new patients
Northern Radiology Imaging Center, PLLC Diagnostic Radiology PastSince Feb 21, 2021 Accepting new patients
Main Line Gastroenterology Associates, PC Past Accepting new patients

Locations (25 of 46)

900 Winderley Pl
Ste 1100
Maitland, FL 32751
Phone (407) 200-1606

235 E Princeton St
Ste 100
Orlando, FL 32804
Phone (407) 303-1414

27443 Network Pl
Chicago, IL 60673

2322 30th Ave
Astoria, NY 11102
Phone (718) 267-2763

160 Brentwood Rd
Bay Shore, NY 11706
Phone (631) 665-7240

1018 Suffolk Ave
Brentwood, NY 11717

Dept 8000
Buffalo, NY 14267

Elm and Carlton St
Buffalo, NY 14263

763 Larkfield Rd
Commack, NY 11725
Phone (631) 462-0118

347 Middle Country Rd
Coram, NY 11727
Phone (631) 992-6403

2087 Deer Park Ave
Deer Park, NY 11729
Phone (631) 992-6401

285 Sills Rd
East Patchogue, NY 11772
Phone (631) 447-8300

220 N Belle Mead Rd
East Setauket, NY 11733
Phone (516) 681-8400

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

500 Mamaroneck Ave
Harrison, NY 10528
Phone (203) 869-1145

99 Smithtown Byp
Hauppauge, NY 11788
Phone (631) 930-3480

326 Walt Whitman Rd
Huntington Station, NY 11746
Phone (631) 673-1001

625 Rockaway Tpke
Lawrence, NY 11559
Phone (516) 288-3076

150 Sunrise Hwy
Ste 201
Lindenhurst, NY 11757

150 Sunrise Hwy
Ste E
Lindenhurst, NY 11757

126 Hicksville Rd
Massapequa, NY 11758
Phone (516) 798-3614

1729 N Ocean Ave
Medford, NY 11763
Phone (631) 289-4800

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

100 E 77th St
New York, NY 10075
Phone (212) 434-2606

680 Old Country Rd
Plainview, NY 11803
Phone (516) 681-8400

Networks

  • Healthfirst Medicare Network H3359
  • Optimum HealthCare HMO Network
  • Healthfirst Medicare Network H5989
  • Freedom Health HMO Network
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: croche504339@direct.urmc.rochester.edu

Organizations & group practices 26

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.

View all 26

Hospital & facility affiliations 8

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": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1639168677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ELM AND CARLTON ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142630001",
            "telephone_number": "716-845-2300",
            "fax_number": "716-845-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ELM AND CARLTON ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142630001",
            "telephone_number": "716-845-2300",
            "fax_number": "716-845-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCHE",
        "first_name": "CHARLES",
        "middle_name": "LAWRENCE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "229224-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02556967",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.