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DAVID ROACH M.D.
NPI 1699139535
Internal Medicine in Boston, MA

Active since April 06, 2016PECOS EnrolledAccepts Medicare Assignment
75 FRANCIS ST, BOSTON, MA 02115(617) 732-5500 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 19, 2024, May 8, 2023, May 24, 2019 (3 updates tracked since 2019).

About David Roach M.d. NPPES

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

DAVID ROACH M.D. (NPI 1699139535) is an individual internal medicine provider in Boston, Massachusetts, licensed in Massachusetts (294013) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Cape Cod Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1699139535
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDAVID ROACHCredential: M.D.
Location Address75 FRANCIS STBoston, MA 02115-6110
Mailing AddressPo Box 415348Boston, MA 02241-5348 · (800) 225-8885 · Fax (508) 334-1977
Phone(617) 732-5500
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2016
Enumeration DateApril 6, 2016
Last NPPES UpdateSeptember 19, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2024
✔ NPI 1699139535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in MA · 294013✔ Licensed in WA · MD60878080
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X · License 294013 (MA)
75 FRANCIS ST, Boston, MA 02115
Open in Google Maps ↗

Secondary Practice Locations 3

Location 155 Fruit StBoston, MA 02114-2696 · Phone (617) 726-3906
Location 255 Lake Ave NWorcester, MA 01655-0002 · Phone (508) 334-8515 · Fax (508) 334-6490
Location 3119 Belmont StWorcester, MA 01605-2903 · Phone (508) 334-8515 · Fax (508) 334-6490

Other Identifiers 1

Medicaid1699139535WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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

David Roach M.d. 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 ID9335436591
PECOS Enrollment IDI20230510001158
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
127 services62 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
64 services64 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
63 services37 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
17 services13 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
15 services15 patients

Hospital Affiliations CMS Care Compare 4

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

Cape Cod Hospital

Acute Care Hospitals · Hyannis, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220012
Location27 Park StreetHyannis, MA 02601 · Barnstable County
Emergency services Birthing friendly

Brigham And Women's Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220110
Location75 Francis StreetBoston, MA 02115 · Suffolk County
Emergency services Birthing friendly

Faulkner Hospital-Brigham And Women's

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220119
Location1153 Centre StreetBoston, MA 02130 · Suffolk County
Emergency services

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220163
Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02115 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
Most-billed visit code 99214
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.

RUMA RAJBHANDARI
Internal Medicine (Gastroenterology)
75 FRANCIS ST
BOSTON, MA 02115
Suffolk County (617) 525-6841
WENYA LINDA BI
Neurological Surgery
75 FRANCIS ST
BOSTON, MA 02115
Suffolk County (203) 645-9485
CHI YUEN CHAN M.D.
Student in an Organized Health Care Education/Training Program
75 FRANCIS ST
BOSTON, MA 02115
Suffolk County (617) 732-5500
JENNIFER MICHELLE THOMAS MD
Radiology (Diagnostic Radiology)
75 FRANCIS ST, DEPARTMENT OF RADIOLOGY
BOSTON, MA 02115
Suffolk County (617) 732-6248
GAURAV SHARMA M.D.
Surgery (Vascular Surgery)
75 FRANCIS ST, BRIGHAM AND WOMEN'S HOSPITAL
BOSTON, MA 02115
Suffolk County (951) 259-0890
DR. EUGENE RICHARDSON MD
Internal Medicine (Infectious Disease)
75 FRANCIS ST
BOSTON, MA 02115
Suffolk County (617) 732-8881
YEU-SHIN CINDY CHANG M.D., M.P.H.
Emergency Medicine
75 FRANCIS ST, BWH DEPT. OF EMERGENCY MEDICINE
BOSTON, MA 02115
Suffolk County (617) 732-8070
CARA L RICHARDS
Physician Assistant
75 FRANCIS ST
BOSTON, MA 02115
Suffolk County (617) 732-5500

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 David Roach's NPI number?

The NPI number for David Roach is 1699139535. It was assigned to this individual provider in the NPPES registry on April 6, 2016.

Where is David Roach located?

David Roach practices at 75 Francis St, Boston, MA 02115. The listed phone number is (617) 732-5500.

What is David Roach's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is David Roach enrolled in Medicare?

Yes. David Roach is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does David Roach accept?

Health plans from Anthem Blue Cross and Blue Shield list David Roach as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is David Roach affiliated with any hospitals?

According to CMS data, David Roach is affiliated with Cape Cod Hospital, Brigham And Women's Hospital, Faulkner Hospital-Brigham And Women's and Umass Memorial Medical Center/University Campus.

When was this NPI record last updated?

The NPPES record for David Roach was last updated on September 19, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.