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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

ALYSSA KIARA ROACH PA-C
NPI 1528974060
Physician Assistant - Medical in Hartford, CT

Active since August 24, 2026PECOS Enrolled
21 GRAND ST, HARTFORD, CT 06106(860) 550-7500 Get Directions Write a Review

NPPES record added: August 24, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Alyssa Kiara Roach Pa-c NPPES

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

ALYSSA KIARA ROACH PA-C (NPI 1528974060) is an individual medical provider in Hartford, Connecticut, licensed in Connecticut (7902) and active in the NPI registry since August 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528974060
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameALYSSA KIARA ROACHCredential: PA-C
Location Address21 GRAND STHartford, CT 06106-1541
Mailing Address30 Carleton RdWest Hartford, CT 06107-3711 · (860) 422-5659
Phone(860) 550-7500
Sole ProprietorYes
Enumeration DateAugust 24, 2026
NPPES CertifiedAugust 24, 2026
✔ NPI 1528974060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CT · 7902
21 GRAND ST, Hartford, CT 06106
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alyssa Kiara Roach Pa-c 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.

KANWALPREET SINGH DDS
Dentist (General Practice)
21 GRAND ST
HARTFORD, CT 06106
Capitol Planning Region (860) 550-7500
MR. NIGEL RODNEY NP-C
Nurse Practitioner
21 GRAND ST
HARTFORD, CT 06106
Capitol Planning Region (860) 550-7500
MR. MANUEL RIVERA PA-C
Physician Assistant
21 GRAND ST
HARTFORD, CT 06106
Capitol Planning Region (860) 550-7500
BENJAMIN VONMAYRHAUSER
Counselor
21 GRAND ST
HARTFORD, CT 06106
Capitol Planning Region (860) 750-7559
RACHNA H THAKKER DMD
Dentist
21 GRAND ST
HARTFORD, CT 06106
Capitol Planning Region (860) 550-7500
MS. KEYOKA CASTRO LADC, LPC-A
Counselor (Addiction (Substance Use Disorder))
21 GRAND ST
HARTFORD, CT 06106
Capitol Planning Region (860) 550-7500
MIA ELIZABETH CIRELLI
Student in an Organized Health Care Education/Training Program
21 GRAND ST
HARTFORD, CT 06106
Capitol Planning Region (860) 550-7500
GILLIAN ROBERTSON LMSW
Social Worker
21 GRAND ST
HARTFORD, CT 06106
Capitol Planning Region (203) 446-7118

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 Alyssa Roach's NPI number?

The NPI number for Alyssa Roach is 1528974060. It was assigned to this individual provider in the NPPES registry on August 24, 2026.

Where is Alyssa Roach located?

Alyssa Roach practices at 21 Grand St, Hartford, CT 06106. The listed phone number is (860) 550-7500.

What is Alyssa Roach's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Alyssa Roach enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Alyssa Roach was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 58 days 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.