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

Q: 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.

Q: What is Paul Roach's specialty?

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

Q: 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 19 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.

Active since September 05, 2008PECOS EnrolledAccepts Medicare Assignment

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: August 02, 2026.

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

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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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

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

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.

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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.

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