MICHAEL L. ROACH MD – NPI #1528004389
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

MICHAEL ROACH is a physician located in CALDWELL, ID. NPPES has assigned the NPI number 1528004389 to MICHAEL ROACH on June 21, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI data, there are 2 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was last updated on Aug 27, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MICHAEL ROACH below.

NPI Profile for
MICHAEL L. ROACH

NPI Number
1528004389
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MICHAEL L. ROACH
Credentials
MD
Primary location
712 AVIATION WAY
CALDWELL, ID 83605-1154
Phone: (208) 302-7100 Fax: (208) 302-7155
2 Other location(s):
315 E Elm St Ste 200
Caldwell, ID 83605-4857
Phone: (208) 302-7500
Fax: (208) 302-7555
1510 12th Ave Rd Ste 200
Nampa, ID 83686-6008
Phone: (208) 302-6800
Fax: (208) 302-6855
Mailing address
3340 E GOLDSTONE DR
MERIDIAN, ID 83642-1026
Phone: (208) 302-7500 Fax: (208) 302-7555
Sole Proprietor
No
Updated
Certification Date
Aug 27, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MICHAEL ROACH

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidID805573200
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)		 OR MD203385

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
ST. LOUIS COLLEGE OF PHYSICIANS AND SURGEONS - Graduated 1987
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
MICHAEL ROACH is affiliated with the following medical group(s):
  • HOSPITAL
    • SAINT ALPHONSUS MEDICAL CENTER - NAMPA
      4300 E FLAMINGO AVE
      NAMPA, ID 83687
    • SAINT ALPHONSUS MEDICAL CENTER - ONTARIO, INC
      351 SW 9TH STREET
      ONTARIO, OR 97914
    • SAINT ALPHONSUS REGIONAL MEDICAL CENTER
      1055 NORTH CURTIS ROAD
      BOISE, ID 83706
    • ST LUKE'S NAMPA MEDICAL CENTER
      9850 WEST ST LUKES DRIVE
      NAMPA, ID 83687
    • ST. ALPHONSUS MEDICAL CENTER - BAKER CITY
      3325 POCAHONTAS ROAD
      BAKER CITY, OR 97814

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.