JOHN ROCHE (M.D.) – Otolaryngology Physician, NPI 1205837689

JOHN ROCHE (M.D.) is a healthcare provider. based in Grand rapids, Michigan. specializing in OTOLARYNGOLOGY. They hold the professional credentials M.D.. They hold a License No. ME165334 (FL). The NPI Number for JOHN ROCHE (M.D.) is 1205837689

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
JOHN ROCHE (M.D.)
NPI
1205837689
Phone
Not provided
Address
100 MICHIGAN ST NE # MC845
Enumeration Date
9 August 2005
Last Update Date
30 July 2025

Doctor Profile

Medical School Name
HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
6162670115
Graduation Year
1993 (33 years ago)
PAC ID
8022132174
Group Practice PAC ID
4587568647
Professional Enrollment ID
I20200319002885

Contacts

Secure Messaging
jroche258665@epic00.shdirect.org
FHIR Endpoint
https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness95
Years active:20State licenses:3Other names

428 OTOLARYNGOLOGY in MI

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Provider Addresses for JOHN ROCHE (M.D.)

  • 100 MICHIGAN ST NE # MC845

    GRAND RAPIDS, MI 495032560

    Phone:

    Type: Mailing

  • Lake Drive Southeast, Third Ward, Grand Rapids, Kent County, Michigan, 49546, United States

    GRAND RAPIDS, MI 495468816

    Phone: (616) 267-7758

    Type: Location

  • 2311 DELANEY AVE

    WILMINGTON, NC 284036012

    Phone: (910) 762-8754

    Fax: (910) 762-0778

    Type: Mailing

  • 8115 Market St Ste 200

    Wilmington, NC 284118430

    Phone: (910) 681-1488

    Fax: (910) 762-0778

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $999.

Total Amount is formed as General ($999) + Research ($0) + Ownership ($0) = $999.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($538).

Total Amount

$999

General + Research + Ownership

Payments

18

Total payment records

General Amount

$999

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-07-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240805004238IOtolaryngologyFLTBD
I20250718000478IOtolaryngologyNCTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99203New patient office or other outpatient visit, 30-44 minutes6565$0
99213Established patient office or other outpatient visit, 20-29 minutes5143$0
31575Diagnostic exam of voice box using a flexible endoscope1919$0
99214Established patient office or other outpatient visit, 30-39 minutes1616$0
99204New patient office or other outpatient visit, 45-59 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 49503)

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Provider's Procedures

JOHN ROCHE (M.D.) performs procedures in OTOLARYNGOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OTOLARYNGOLOGYVA95117Injection of incremental dosages of allergen, 2 or more injections17440

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4587568647View full group profile
NameSpecialtyState
Critical Care (Intensivists)IL
Physician AssistantMI
Physician AssistantMI
Physician AssistantMI
-MI
Vascular SurgeryIL
-MI
-MI
A N E S T H E S I O L O G YTX
Clinical Social WorkerMI

Reviews

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Frequently asked questions

What is JOHN ROCHE (M.D.)'s NPI number?
JOHN ROCHE (M.D.)'s NPI is 1205837689 — the number used across U.S. healthcare to identify this provider.
Is there an active status for JOHN ROCHE (M.D.)?
For scheduling context, JOHN ROCHE (M.D.) is shown as active in the registry.
What kind of doctor is JOHN ROCHE (M.D.)?
JOHN ROCHE (M.D.) is associated with Otolaryngology Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with JOHN ROCHE (M.D.)?
Directory geography for JOHN ROCHE (M.D.) centers on Grand Rapids, Michigan.
Can I trust this NPI listing for JOHN ROCHE (M.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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