DR. TODD KENT ROACH D.C.
NPI 1043323132
Chiropractor in New Lenox, IL
About Dr. Todd Kent Roach D.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TODD KENT ROACH D.C. (NPI 1043323132) is an individual chiropractor in New Lenox, Illinois, licensed in Illinois (038-010254) and active in the NPI registry since August 2006.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Todd Kent Roach D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Todd Roach reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Chicago, IL 60611
- Reassigned Medicare billing, Illinois enrollment
- 61 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Todd Roach's NPI number?
The NPI number for Todd Roach is 1043323132. It was assigned to this individual provider in the NPPES registry on August 16, 2006.
Where is Todd Roach located?
Todd Roach practices at 756 Mallard Dr, New Lenox, IL 60451. The listed phone number is (815) 600-1199.
What is Todd Roach's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Todd Roach enrolled in Medicare?
Yes. Todd Roach is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Todd Roach's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Todd Roach reassigns Medicare benefits to Active Wellness LLC (Chicago, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Todd Roach's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Todd Roach was last updated on July 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Todd Kent Roach, D.C. · NPI 1043323132
Chiropractor provider in New Lenox, Illinois. Individual provider, active in the CMS NPPES registry since August 16, 2006.
## Identity
- **NPI:** 1043323132 (Entity type: Individual)
- **Enumerated:** August 16, 2006
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 038-010254 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 756 MALLARD DR, New Lenox, IL 60451-1968
- **Phone:** (815) 600-1199
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Active Wellness LLC (NPI 1447685052, Chicago, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 27, 2022
- **Other identifiers:** Other 3232026 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1043323132) · Data from the CMS NPPES public registry.