DR. CARSTON DAVID ROACH MD
NPI 1245991348
Student in an Organized Health Care Education/Training Program in Ann Arbor, MI

Active since January 01, 2022PECOS Enrolled
1500 E. MEDICAL CENTER DRIVE, 1H 247 UH, ANN ARBOR, MI 48109(734) 936-4280 Get Directions Write a Review

NPPES record last updated: June 20, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 20, 2023, Jan 1, 2022 (2 updates tracked since 2022).

About Dr. Carston David Roach Md NPPES

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

DR. CARSTON DAVID ROACH MD (NPI 1245991348) is an individual student in an organized health care education/training program in Ann Arbor, Michigan, licensed in Michigan (4351050656) and active in the NPI registry since January 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245991348
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. CARSTON DAVID ROACHCredential: MD
Location Address1500 E. MEDICAL CENTER DRIVE, 1H 247 UHAnn Arbor, MI 48109-5048
Mailing Address1500 E. Medical Center Drive, 1h 247 UhAnn Arbor, MI 48109-5048
Sole ProprietorNo
Enumeration DateJanuary 1, 2022
Last NPPES UpdateJune 20, 20232 updates tracked since enumeration
NPPES CertifiedJune 20, 2023
NPI 1245991348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in MI · 4351050656
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1500 E. MEDICAL CENTER DRIVE, Ann Arbor, MI 48109

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Carston David Roach Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Emergency Medicine
1500 E. MEDICAL CENTER DRIVE, B1-380 TC
ANN ARBOR, MI 48109
Pediatrics (Pediatric Critical Care Medicine)
1500 E. MEDICAL CENTER DRIVE, F6790 UH SOUTH, SPC 5243
ANN ARBOR, MI 48109
Student in an Organized Health Care Education/Training Program
1500 E. MEDICAL CENTER DRIVE, CARDIOVASCULAR MEDICINE
ANN ARBOR, MI 48109
Dentist (Oral and Maxillofacial Surgery)
1500 E. MEDICAL CENTER DRIVE
ANN ARBOR, MI 48109
Student in an Organized Health Care Education/Training Program
1500 E. MEDICAL CENTER DRIVE, 1H 247 UH
ANN ARBOR, MI 48109
Dentist (General Practice)
1500 E. MEDICAL CENTER DRIVE, MEDINN CLINIC C213,SPC 5831
ANN ARBOR, MI 48109
Surgery
1500 E. MEDICAL CENTER DRIVE, TAUBMAN CENTER, 2ND FLOOR, RECEPTION F
ANN ARBOR, MI 48109
Student in an Organized Health Care Education/Training Program
1500 E. MEDICAL CENTER DRIVE
ANN ARBOR, MI 48109

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 Carston Roach's NPI number?

The NPI number for Carston Roach is 1245991348. It was assigned to this individual provider in the NPPES registry on January 1, 2022.

Where is Carston Roach located?

Carston Roach practices at 1500 E. Medical Center Drive 1H 247 Uh, Ann Arbor, MI 48109. The listed phone number is (734) 936-4280.

What is Carston Roach's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Carston Roach enrolled in Medicare?

Yes. Carston Roach is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Carston Roach was last updated on June 20, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.