DR. MACK ROACH III M.D.
NPI 1770523359
Radiology - Therapeutic Radiology in San Francisco, CA

Q: What is Mack Roach's NPI number?

The NPI number for Mack Roach is 1770523359. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Q: What is Mack Roach's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Therapeutic Radiology, with taxonomy code 2085R0203X.

Q: When was this NPI record last updated?

The NPPES record for Mack Roach was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since June 08, 2006PECOS EnrolledAccepts Medicare Assignment

74.46/100

CMS Quality Rating

1600 DIVISADERO STREET, H1031, SAN FRANCISCO, CA 94143(415) 353-7175(415) 353-9883 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Mack Roach Iii M.d. NPPES

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

DR. MACK ROACH III M.D. (NPI 1770523359) is an individual therapeutic radiology provider in San Francisco, California, licensed in California (00G42845) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Stanford University School Of Medicine (1979).

NPPES Registry Identity

NPI1770523359

Entity TypeIndividualMale

Primary Taxonomy2085R0203X

Provider Legal NameDR. MACK ROACH IIICredential: M.D.

Location Address1600 DIVISADERO STREET, H1031San Francisco, CA 94143-0001

Mailing Address1600 Divisadero Street, H1031San Francisco, CA 94143-1708 · (415) 353-7175 · Fax (415) 353-9883

Phone(415) 353-7175

Fax(415) 353-9883

Sole ProprietorNo

Medical School CMSStanford University School Of MedicineGraduated 1979

Enumeration DateJune 8, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1770523359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Therapeutic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0203X

License✔ Licensed in CA · 00G42845

Definition

Therapeutic Radiology certificate name was changed to Radiation Oncology. Use Radiation Oncology.

1600 DIVISADERO STREET, San Francisco, CA 94143

Open in Google Maps ↗

Other Identifiers 1

Medicare UPINE83131CA

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

Dr. Mack Roach Iii 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 ID4587747423

PECOS Enrollment IDI20080214000604

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

Medicare enrollment records show Mack Roach reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of California San Francisco

1.8 mi

Surgery

400 PARNASSUS AVE, MCB 300
San Francisco, CA 94143

Reassigned Medicare billing, California enrollment
5,645 clinicians in this Medicare group

NPI 1346329380 (415) 353-2161

Ucsf Medical Group Business Services

1.8 mi

Internal Medicine

400 PARNASSUS AVE
San Francisco, CA 94122

Reassigned Medicare billing, California enrollment
5,544 clinicians in this Medicare group

NPI 1477624104 (415) 353-2808

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 12

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.

Calculation of radiation therapy dose 77300

Radiation therapy dose calculation is a process to determine the exact amount of radiation needed to treat a specific area in the body. This calculation helps ensure the treatment is effective while minimizing harm to healthy tissues. It's a key part of planning your radiation therapy.

615 services68 patients

Ct guidance for insertion of radiation therapy fields 77014

CT guidance for insertion of radiation therapy fields involves using a CT scan to accurately map the area of your body where radiation will be applied. This ensures the radiation targets only the necessary area, minimizing impact to healthy tissues.

487 services47 patients

Radiation treatment management, 5 treatment sessions 77427

Radiation treatment management involves a series of 5 sessions where targeted radiation is used to destroy or shrink cancer cells in your body. Each session is carefully planned to maximize effectiveness while minimizing harm to healthy tissues. You may experience side effects which will be closely monitored and managed for your comfort.

140 services31 patients

Design and construction of radiation treatment device for high precision radiation therapy 77338

A radiation treatment device is custom-made for each patient to target cancer cells with high precision. It's designed to focus radiation on the tumor, sparing healthy tissue. This process ensures effective therapy while minimizing side effects.

103 services67 patients

Complex radiation therapy planning 77263

Complex radiation therapy planning is a process to determine the most effective way to deliver radiation to a specific area in your body. It involves detailed imaging to map your body's structure, allowing for precise targeting of cancer cells while sparing healthy tissue.

73 services70 patients

High precision radiation therapy planning 77301

High precision radiation therapy planning involves detailed mapping of your body to target cancer cells accurately. Advanced imaging techniques help identify the exact location of the tumor, minimizing harm to healthy tissues. This personalized approach enhances effectiveness and reduces side effects.

73 services67 patients

Design and construction of simple radiation treatment device 77332

A simple radiation treatment device is designed and built to target specific areas in your body with high energy rays. This process is carefully planned to ensure that the radiation accurately reaches the area needing treatment, while minimizing exposure to healthy tissues.

59 services52 patients

Management of cranial lesion surgery using radiation over multiple sessions 77435

This procedure involves using targeted radiation to treat a lesion in the brain over several sessions. The radiation destroys the abnormal cells, helping to control or eliminate the lesion. It's a non-invasive treatment, meaning no surgical cuts are made.

54 services53 patients

Design and construction of complex radiation treatment device 77334

The design and construction of a complex radiation treatment device is a process where a specialized instrument is created. This device targets harmful cells with high-energy rays to destroy or damage them, while minimizing impact on healthy cells. This aids in treating conditions like cancer.

46 services31 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

24 services22 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

16 services16 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

12 services12 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

74.46/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

Improvement Activities

Cost

46.68

Other Providers at the Same Location NPPES 11

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

DR. FREDERIC M WALDMAN MD

Pathology (Clinical Pathology/Laboratory Medicine)

1600 DIVISADERO STREET
SAN FRANCISCO, CA 94143

San Francisco County (415) 353-7241

GORDON L FUNG MD

Internal Medicine (Cardiovascular Disease)

1600 DIVISADERO STREET, SUITE C-244 #1609
SAN FRANCISCO, CA 94143

San Francisco County (415) 885-3666

DR. MICHELLE ELIZABETH MELISKO MD

Internal Medicine (Medical Oncology)

1600 DIVISADERO STREET
SAN FRANCISCO, CA 94143

San Francisco County (415) 353-7070

DR. MARC A. DALL'ERA M.D.

Urology

1600 DIVISADERO STREET
SAN FRANCISCO, CA 94143

San Francisco County (415) 353-7171

DR. ROBERT J. RUSHAKOFF MD

Internal Medicine

1600 DIVISADERO STREET
SAN FRANCISCO, CA 94143

San Francisco County (415) 885-3868

DR. ALAN P. VENOOK MD

Internal Medicine (Medical Oncology)

1600 DIVISADERO STREET
SAN FRANCISCO, CA 94143

San Francisco County (415) 353-9888

ADRIENNE MILLER WAKELING M.S.

Genetic Counselor, MS

1600 DIVISADERO STREET, 3RD FLOOR
SAN FRANCISCO, CA 94143

San Francisco County (415) 514-6644

DR. BRIAN S. SCHWARTZ MD

Internal Medicine

1600 DIVISADERO STREET
SAN FRANCISCO, CA 94143

San Francisco County (415) 885-3725

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 Mack Roach's NPI number?

The NPI number for Mack Roach is 1770523359. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is Mack Roach located?

Mack Roach practices at 1600 Divisadero Street H1031, San Francisco, CA 94143. The listed phone number is (415) 353-7175.

What is Mack Roach's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Therapeutic Radiology, with taxonomy code 2085R0203X.

Is Mack Roach enrolled in Medicare?

Yes. Mack 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 Mack Roach's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mack Roach reassigns Medicare benefits to 2 organizations: University Of California San Francisco (San Francisco, CA) and Ucsf Medical Group Business Services (San Francisco, CA). 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 Mack Roach's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mack Roach was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.