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DR. PAUL BRYAN ROACH M.D., F.A.C.S.
NPI 1316195159
Surgery - Surgical Oncology in Maywood, IL

Active since September 05, 2008PECOS Enrolled
2160 S 1ST AVE, MAYWOOD, IL 60153(708) 216-9000 Get Directions Write a Review

NPPES record last updated: December 23, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 23, 2024, Apr 29, 2021 (2 updates tracked since 2021).

About Dr. Paul Bryan Roach M.d., F.a.c.s. NPPES

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

DR. PAUL BRYAN ROACH M.D., F.A.C.S. (NPI 1316195159) is an individual surgical oncology provider in Maywood, Illinois, licensed in Illinois (036113684) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS, is affiliated with Loyola University Medical Center, and is a graduate of Rush Medical College Of Rush University (1994).

NPPES Registry Identity

NPI1316195159
Entity TypeIndividualMale
Primary Taxonomy2086X0206X
Provider Legal NameDR. PAUL BRYAN ROACHCredential: M.D., F.A.C.S.
Location Address2160 S 1ST AVEMaywood, IL 60153-3328
Mailing Address221 Northview DrChesapeake, VA 23322-4041 · (757) 953-2544
Phone(708) 216-9000
Sole ProprietorNo
Medical School CMSRush Medical College Of Rush UniversityGraduated 1994
Enumeration DateSeptember 5, 2008
Last NPPES UpdateDecember 23, 20242 updates tracked since enumeration
NPPES CertifiedDecember 23, 2024
✔ NPI 1316195159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2086X0206X
Licenses✔ Licensed in IL · 036113684✔ Licensed in VA · 56692
Definition
A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.
Also ListedSurgeryTaxonomy 208600000X · License 036113684 (IL)
2160 S 1ST AVE, Maywood, IL 60153
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Paul Bryan Roach M.d., F.a.c.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3678711975
PECOS Enrollment IDI20150318000855
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Paul Roach reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bonaventure Medical Foundation, LLC
14 mi
Family Medicine
701 BIESTERFIELD RD UNIT 4D
Elk Grove Village, IL 60007
  • Reassigned Medicare billing, Illinois enrollment
  • 281 clinicians in this Medicare group
NPI 1588775647 (855) 692-6482
City Of Hope Medical Group Of Illinois PLLC
41 mi
Specialist
2520 ELISHA AVE
Zion, IL 60099
  • Reassigned Medicare billing, Illinois enrollment
  • 253 clinicians in this Medicare group
NPI 1548258072 (847) 746-4358

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Loyola University Medical Center

Acute Care Hospitals · Maywood, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140276
Location2160 S 1st AvenueMaywood, IL 60153 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60153 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$183.39 typical visit price
range $60.08 – $183.39
Typical copayment $45.84 (range $15.02 – $45.84)
Most-billed visit code 99205
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

ANITA OZA NAGAMINE M.D.
Radiology (Diagnostic Radiology)
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (708) 216-9000
DR. BRYCE ANDREW PASCHOLD D.P.M.
Podiatrist (Foot & Ankle Surgery)
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (708) 216-4254
DR. ANTONIO HERNANDO IGLESIAS M.D.
Psychiatry & Neurology (Neurology)
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (708) 216-9000
IAN CHARLES MCCOMB
Oral & Maxillofacial Surgery
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (708) 216-9000
JAMES WU D.O.
Psychiatry & Neurology (Psychiatry)
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (708) 216-9000
PAIGE T SONG MD
Student in an Organized Health Care Education/Training Program
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (888) 584-7888
ELIZABETH CHO
Orthopaedic Surgery
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (708) 216-1274
DR. CATHRYN T SAWALSKI DO, MBA
Internal Medicine
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (888) 584-7888

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 Paul Roach's NPI number?

The NPI number for Paul Roach is 1316195159. It was assigned to this individual provider in the NPPES registry on September 5, 2008.

Where is Paul Roach located?

Paul Roach practices at 2160 S 1st Ave, Maywood, IL 60153. The listed phone number is (708) 216-9000.

What is Paul Roach's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Is Paul Roach enrolled in Medicare?

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

Which organizations bill Medicare for Paul Roach's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Roach reassigns Medicare benefits to 2 organizations: Bonaventure Medical Foundation, LLC (Elk Grove Village, IL) and City Of Hope Medical Group Of Illinois PLLC (Zion, IL). Each 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 Paul Roach's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Paul Roach affiliated with any hospitals?

According to CMS data, Paul Roach is affiliated with Loyola University Medical Center.

When was this NPI record last updated?

The NPPES record for Paul Roach was last updated on December 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.