Individual provider Active NPI

Alan Edward Roach, M.D.

  • Pediatrics Physician
  • Nashville, TN
National Provider Identifier
1851564827
Registry record updated Jun 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
47080 Issued in TN
Practice address
5505 Edmondson Pike
Suite 104
Nashville, TN 37211-5872
Phone
(615) 331-5898
Fax
(615) 331-5705
NPI assigned
Apr 10, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 47080 TN Primary

Addresses

Primary practice location

5505 Edmondson Pike
Suite 104
Nashville, TN 37211-5872

Mailing address

740 Cool Springs Blvd
Suite 220
Franklin, TN 37067-6448
Phone (615) 550-4030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20140404001936 TN Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 7315179322

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
47080TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
HCA Health Services of Tennessee, Inc. Past Accepting new patients
HCA Health Services of Tennessee, Inc. Past Accepting new patients
Saint Thomas West Hospital Past Accepting new patients

Organizations & group practices 3

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": "1207785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402358400000",
    "number": "1851564827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 COOL SPRINGS BLVD",
            "address_2": "SUITE 220",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370676448",
            "telephone_number": "615-550-4030",
            "fax_number": "615-550-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 EDMONDSON PIKE",
            "address_2": "SUITE 104",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372115872",
            "telephone_number": "615-331-5898",
            "fax_number": "615-331-5705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROACH",
        "first_name": "ALAN",
        "middle_name": "EDWARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-10",
        "last_updated": "2014-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "47080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.