Kenneth William Roach, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

200300401 Issued in NC

Practice address

1000 N Main St
Suite #204
Fuquay Varina, NC 27526-2056

Phone

(919) 567-3709

NPI assigned

May 31, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Ophthalmology

Education

Medical College of Pennsylvania, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Rex Hospital Hospital, Raleigh, NC, CCN 340114

Merit-based Incentive Payment System (MIPS)

Final score

99.37 of 100Reported as individual

Quality

98.74

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GFEIAA
• Direct secure messaging: kenneth.roach@fog.eclinicaldirectplus.com
• FHIR API: https://fhir4.healow.com/fhir/r4/GFEIAA/Endpoint/GFEIAA

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.

• Fuquay Ophthalmology and Glaucoma PC

  • Ophthalmology Physician
  • Fuquay Varina, NC
  • NPI 1083717516

  NC, Ophthalmology

  Medicare reassignment NPD Authorized official
• The New York Eye & Ear Infirmary Ophthalmology Associates, P.C.

  • Specialist
  • New York, NY
  • NPI 1811931041
  NPD (past)

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

• Rex Hospital Inc.

  • General Acute Care Hospital
  • Raleigh, NC
  • NPI 1497797088

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517875200000",
    "number": "1780686014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 ATTAIN ST",
            "address_2": "# 101",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275261972",
            "telephone_number": "919-567-3709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N MAIN ST",
            "address_2": "SUITE #204",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275262056",
            "telephone_number": "919-567-3709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROACH",
        "first_name": "KENNETH",
        "middle_name": "WILLIAM",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2018-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "200300401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89134UY",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kestyn Ritchotte
• Rosamelia Rivas
• Riverbend Family Medicine, PA
• Caroline Rivers, PHARMD
• Sofia Rizk
• Rob Reinhardt, LPC, PA
• Caitlin Robins
• Beth L Robinson, P.T.
• Genevieve Clissold Rockett, PT
• Marcella Lynne Rodgers

• All providers in Fuquay Varina, NC
• Ophthalmology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.