STEPHANIE ANN-PHILLIPS ROACH
NPI 1144927252
Physician Assistant - Surgical in Syracuse, NY

Q: What is Stephanie Roach's NPI number?

The NPI number for Stephanie Roach is 1144927252. It was assigned to this individual provider in the NPPES registry on February 9, 2023.

Q: What is Stephanie Roach's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Stephanie Roach was last updated on February 7, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 09, 2023PECOS EnrolledAccepts Medicare Assignment

736 IRVING AVE, SYRACUSE, NY 13210(315) 470-7111 Get Directions Write a Review

NPPES record last updated: February 7, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 7, 2025, Feb 9, 2023 (2 updates tracked since 2023).

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About Stephanie Ann-phillips Roach NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHANIE ANN-PHILLIPS ROACH (NPI 1144927252) is an individual surgical provider in Syracuse, New York and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS, is affiliated with Crouse Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1144927252

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameSTEPHANIE ANN-PHILLIPS ROACH

Location Address736 IRVING AVESyracuse, NY 13210-1602

Mailing Address736 Irving AveSyracuse, NY 13210-1602

Phone(315) 470-7111

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateFebruary 9, 2023

Last NPPES UpdateFebruary 7, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 7, 2025

✔ NPI 1144927252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

736 IRVING AVE, Syracuse, NY 13210

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Stephanie Ann-phillips Roach is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981125499

PECOS Enrollment IDI20250312001975

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Crouse Hospital

Acute Care Hospitals · Syracuse, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330203

Location736 Irving AvenueSyracuse, NY 13210 · Onondaga County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSE S WILLIAMS MD

Internal Medicine