ALEXIS NICOLE ROACH DO
NPI 1770162703
Emergency Medicine - Pediatric Emergency Medicine in Little Rock, AR

Q: What is Alexis Roach's NPI number?

The NPI number for Alexis Roach is 1770162703. It was assigned to this individual provider in the NPPES registry on April 6, 2021.

Q: What is Alexis Roach's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Pediatric Emergency Medicine, with taxonomy code 207PP0204X.

Q: When was this NPI record last updated?

The NPPES record for Alexis Roach was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 April 06, 2021PECOS Enrolled

1 CHILDRENS WAY # 664, LITTLE ROCK, AR 72202(501) 364-2505(501) 978-6436 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 19, 2025, Apr 6, 2021 (2 updates tracked since 2021).

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About Alexis Nicole Roach Do NPPES

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

ALEXIS NICOLE ROACH DO (NPI 1770162703) is an individual pediatric emergency medicine provider in Little Rock, Arkansas, licensed in Arkansas (E-18038) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1770162703

Entity TypeIndividualFemale

Primary Taxonomy207PP0204X

Provider Legal NameALEXIS NICOLE ROACHCredential: DO

Location Address1 CHILDRENS WAY # 664Little Rock, AR 72202-3500

Mailing AddressPo Box 959794Saint Louis, MO 63195-9794 · (501) 364-1100 · Fax (501) 978-6436

Phone(501) 364-2505

Fax(501) 978-6436

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateApril 6, 2021

Last NPPES UpdateSeptember 19, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 19, 2025

✔ NPI 1770162703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency Medicine · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207PP0204X

License✔ Licensed in AR · E-18038

Definition

Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department.

Also ListedPediatricsTaxonomy 208000000X · License E-18038 (AR)

1 CHILDRENS WAY # 664, Little Rock, AR 72202

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Health Advantage, Octave.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexis Nicole Roach Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3678975893

PECOS Enrollment IDI20251008004762

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 Reassignment

Medicare enrollment records show Alexis Roach reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Arkansas Childrens Professional Services Organization LLC

3.4 mi

Pediatrics

1 CHILDRENS WAY
Little Rock, AR 72202

Reassigned Medicare billing, Arkansas enrollment
653 clinicians in this Medicare group

NPI 1629889464 (501) 364-2526

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72202 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

$79.72 typical visit price

range $51.36 – $157.74

Typical copayment $19.93 (range $12.84 – $39.43)

Most-billed visit code 99203

Established Patient

$91.63 typical visit price

range $16.16 – $128.77

Typical copayment $22.90 (range $4.04 – $32.19)

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 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMILY KATHRYN GRIMES

Pediatrics