Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104895986 Individual Practitioner Male Practitioner

Dr. Kevin R. Roach , MD

Surgery • Hastings, MN

Professional Overview & Biography Verified Profile Summary

Dr. Kevin Roach, MD is a registered healthcare professional specializing in Surgery in Hastings, MN. Practice services are available at 1285 NININGER RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1285 Nininger Rd

Hastings, MN 550331086

Telephone 6514804200
Associated Practice Facility / Clinic
🏢 Allina Health System Facility NPI 1578869293

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Hastings, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 23.0 Yrs
Regional Practice Density
2 Specialists

Practicing in Hastings, MN (770 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MN 40335

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
942819400 (MN)
Commercial Insurance / Payer ID Blue Cross
02F64RO (MN)
Commercial Insurance / Payer ID Medicaid Wi
32371200 (MN)
Commercial Insurance / Payer ID Medica Urgent Care
66-02258 (MN)
Commercial Insurance / Payer ID Americas Ppo
764561 (MN)
Commercial Insurance / Payer ID Railroad Medicare
020037023 (MN)
Commercial Insurance / Payer ID Preferred One
NA9141014588 (MN)
Commercial Insurance / Payer ID Ucare Minnesota
120840 (MN)
Commercial Insurance / Payer ID Health Partners
HP23558 (MN)
Commercial Insurance / Payer ID Medica
17-00169 (MN)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

18 Associated Practitioners
Meghan Brant , PA-C

Physician Assistant - Medical

NPI 1003013137

Physician Assistant (Certified)

NPI 1043717622

Doctor of Medicine (M.D.)

Susan Nelson , RN, FNP

Nurse Practitioner - Family

NPI 1134177561

Registered Nurse, Family Nurse Practitioner

Dr. Gita Byraiah , MD, MHS

Obstetrics & Gynecology

NPI 1164876942

Doctor of Medicine (M.D.), MHS

NPI 1225712292

Doctor of Audiology

Dr. Gary Moody , MD

Family Medicine

NPI 1356310148

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 27, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location October 27, 2011

Registered at 1285 NININGER RD, HASTINGS, MN 550331086 (Tel: 6514804200)

📍
Updated Business Mailing Address October 27, 2011

Registered at 2925 CHICAGO AVE, MINNEAPOLIS, MN 554071321 (Tel: 6122625000)

👤
Provider Name / Credentials Updated October 27, 2011

Recorded as KEVIN ROACH, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 27, 2011

Surgery (License #40335 in MN)

🟢
Initial NPI Registration & Enumeration March 15, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104895986
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 15, 2006
Last Update: October 27, 2011
Sole Proprietor: No

Mailing Address

2925 Chicago Ave

Minneapolis, MN 554071321

Phone: 6122625000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.