JOHN B ROACH JR. D.O.
NPI 1881640639
Surgery in Lutz, FL
About John B Roach Jr. D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN B ROACH JR. D.O. (NPI 1881640639) is an individual surgery provider in Lutz, Florida, licensed in Florida (OS9566) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Bayonet Point Hospital, and is a graduate of Other (2001).
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 1
Accepted Insurance
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
John B Roach Jr. D.o. 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.
Medicare Billing Reassignment
Medicare enrollment records show John Roach reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Hudson, FL 34667
- Reassigned Medicare billing, Florida enrollment
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 2
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Hca Florida Bayonet Point Hospital
Acute Care Hospitals · Hudson, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33558 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 1881640639. It was assigned to this individual provider in the NPPES registry on May 25, 2006.
Where is John Roach located?
John Roach practices at 17723 Hunting Bow Cir Suite 101, Lutz, FL 33558. The listed phone number is (813) 528-8744.
What is John Roach's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
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 organization bills Medicare for John Roach's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Roach reassigns Medicare benefits to Sundari Plastics LLC (Hudson, FL). The 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.
What insurance does John Roach accept?
Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list John 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 John Roach affiliated with any hospitals?
According to CMS data, John Roach is affiliated with Hca Florida Bayonet Point Hospital.
When was this NPI record last updated?
The NPPES record for John Roach was last updated on February 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# John B Roach Jr., D.O. · NPI 1881640639
Surgery physician in Lutz, Florida. Individual provider, active in the CMS NPPES registry since May 25, 2006.
## Identity
- **NPI:** 1881640639 (Entity type: Individual)
- **Enumerated:** May 25, 2006
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** OS9566 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 17723 HUNTING BOW CIR, SUITE 101, Lutz, FL 33558-5371
- **Phone:** (813) 528-8744 · **Fax:** (813) 528-8791
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Sundari Plastics LLC (NPI 1154577021, Hudson, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2001
## Record status
- **NPPES last updated:** February 21, 2014
- **Other identifiers:** Medicare UPIN I27716 (ME)
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Source: [NPI Profile](https://npiprofile.com/npi/1881640639) · Data from the CMS NPPES public registry.