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MR. JOHN TIPTON ROACH III CRNA
NPI 1750929840
Nurse Anesthetist, Certified Registered in Birmingham, AL

Active since December 19, 2019PECOS EnrolledAccepts Medicare Assignment
701 PRINCETON AVE SW, BIRMINGHAM, AL 35211(205) 783-3000 Get Directions Write a Review

NPPES record last updated: June 11, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 11, 2024, Dec 19, 2019 (2 updates tracked since 2019).

About Mr. John Tipton Roach Iii Crna NPPES

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

MR. JOHN TIPTON ROACH III CRNA (NPI 1750929840) is an individual nurse anesthetist, certified registered in Birmingham, Alabama, licensed in Alabama (130110) and active in the NPI registry since December 2019. He is enrolled in Medicare PECOS, is affiliated with Perry County Memorial Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1750929840
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMR. JOHN TIPTON ROACH IIICredential: CRNA
Location Address701 PRINCETON AVE SWBirmingham, AL 35211-1303
Mailing Address216 Morgan AveMobile, AL 36606-1833 · (251) 500-0596
Phone(205) 783-3000
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 19, 2019
Last NPPES UpdateJune 11, 20242 updates tracked since enumeration
NPPES CertifiedJune 11, 2024
✔ NPI 1750929840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in AL · 130110
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
701 PRINCETON AVE SW, Birmingham, AL 35211
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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 and accepts Medicare assignment

Mr. John Tipton Roach Iii Crna 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 ID4587092044
PECOS Enrollment IDI20240730002996
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

4

Medicare enrollment records show John Roach reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiologists Associated PC
Same address
Anesthesiology
701 PRINCETON AVE SW
Birmingham, AL 35211
  • Reassigned Medicare billing, Alabama enrollment
  • 690 clinicians in this Medicare group
NPI 1851371850 (205) 783-3144
Ad Of Kentucky PLLC
295 mi
Anesthesiology
1201 PLEASANT VALLEY RD
Owensboro, KY 42303
  • Reassigned Medicare billing, Kentucky enrollment
  • 137 clinicians in this Medicare group
NPI 1376415596 (888) 851-4642
Commonwealth Anesthesia, Psc
338 mi
Anesthesiology
150 N EAGLE CREEK DR
Lexington, KY 40509
  • Reassigned Medicare billing, Kentucky enrollment
  • 462 clinicians in this Medicare group
NPI 1437196300 (859) 967-5000
Anesthesia Dynamics LLC
486 mi
Anesthesiology
206 2ND ST E
Bradenton, FL 34208
  • Reassigned Medicare billing, Kentucky enrollment
  • 158 clinicians in this Medicare group
NPI 1073001012 (888) 851-4642

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

Areas of Expertise CMS Part B claims

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.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
25 services25 patients

Hospital Affiliations CMS Care Compare 3

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

Perry County Memorial Hospital

Critical Access Hospitals · Tell City, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number151322
Location8885 Sr 237Tell City, IN 47586 · Perry County
Emergency services

Owensboro Health Muhlenberg Community Hospital

Acute Care Hospitals · Greenville, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180004
Location440 Hopkinsville StreetGreenville, KY 42345 · Muhlenberg County
Emergency services

Owensboro Health Regional Hospital

Acute Care Hospitals · Owensboro, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180038
Location1201 Pleasant Valley RoadOwensboro, KY 42303 · Daviess County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35211 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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.

DR. WILLIAM RANDOLPH MADDOX M.D.
Internal Medicine (Clinical Cardiac Electrophysiology)
701 PRINCETON AVE SW
BIRMINGHAM, AL 35211
Jefferson County (205) 783-3000
LADANA M. WILLIAMS C.R.N.A.
Nurse Anesthetist, Certified Registered
701 PRINCETON AVE SW
BIRMINGHAM, AL 35211
Jefferson County (205) 783-3144
JAMES M. HATCHETT CRNA
Nurse Anesthetist, Certified Registered
701 PRINCETON AVE SW
BIRMINGHAM, AL 35211
Jefferson County (205) 977-1949
KATHERINE S. THOMPSON CRNA
Nurse Anesthetist, Certified Registered
701 PRINCETON AVE SW
BIRMINGHAM, AL 35211
Jefferson County (205) 977-1949
ANESTHEIOLOGISTS ASSOCIATED
Advanced Practice Midwife
701 PRINCETON AVE SW
BIRMINGHAM, AL 35211
Jefferson County (334) 377-4415
BAPTIST HOME CARE SERVICES
Home Health
701 PRINCETON AVE SW
BIRMINGHAM, AL 35211
Jefferson County (205) 783-7922
PHILLIP A. BROMLEY CRNA
Nurse Anesthetist, Certified Registered
701 PRINCETON AVE SW
BIRMINGHAM, AL 35211
Jefferson County (205) 977-1949
DERRICK GRAY CRNA
Nurse Anesthetist, Certified Registered
701 PRINCETON AVE SW
BIRMINGHAM, AL 35211
Jefferson County (334) 377-4415

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 John Roach's NPI number?

The NPI number for John Roach is 1750929840. It was assigned to this individual provider in the NPPES registry on December 19, 2019.

Where is John Roach located?

John Roach practices at 701 Princeton Ave SW, Birmingham, AL 35211. The listed phone number is (205) 783-3000.

What is John Roach's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is John Roach enrolled in Medicare?

Yes. John 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.

Which organizations bill Medicare for John Roach's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Roach reassigns Medicare benefits to 4 organizations: Anesthesiologists Associated PC (Birmingham, AL), Ad Of Kentucky PLLC (Owensboro, KY), Commonwealth Anesthesia, Psc (Lexington, KY) and Anesthesia Dynamics LLC (Bradenton, FL). 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 John Roach's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is John Roach affiliated with any hospitals?

According to CMS data, John Roach is affiliated with Perry County Memorial Hospital, Owensboro Health Muhlenberg Community Hospital and Owensboro Health Regional Hospital.

When was this NPI record last updated?

The NPPES record for John Roach was last updated on June 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.