DR. MONA S.I. ROACH (M.D.) – Family Medicine Physician, NPI 1619946282

DR. MONA S.I. ROACH (M.D.) is a healthcare provider. based in Minneapolis, Minnesota. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 40336 (MN). The NPI Number for DR. MONA S.I. ROACH (M.D.) is 1619946282

Main info

Female
34 Years Of Experience
Accepts Medicare Assignment
Name
DR. MONA S.I. ROACH (M.D.)
NPI
1619946282
Phone
(612) 262-5000
Address
2925 CHICAGO AVE
Enumeration Date
16 March 2006
Last Update Date
11 March 2021

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
3206825225
Graduation Year
1992 (34 years ago)
PAC ID
2567406143
Group Practice PAC ID
4587573613
Professional Enrollment ID
I20050614001294
Address ID
MN553021109AN440XXEXXX400
Telehealth
Yes

Contacts

Secure Messaging
mroach84361@excellian.direct.allina.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

3,076 FAMILY PRACTICE in MN

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Provider Addresses for DR. MONA S.I. ROACH (M.D.)

  • Chicago Av, Washington Avenue South, Minneapolis, Hennepin County, Minnesota, 55415:55454, United States

    MINNEAPOLIS, MN 554071321

    Phone: (612) 262-5000

    Type: Mailing

  • Regina Medical Clinic, 1285, Nininger Road, Hastings, Dakota County, Minnesota, 55033, United States

    HASTINGS, MN 550331086

    Phone: (651) 480-4200

    Fax: (651) 480-4306

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2005-06-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20050614001294IFamily PracticeMNTBD

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
36415Insertion of needle into vein for collection of blood sample240128$0
99214Established patient office or other outpatient visit, 30-39 minutes167104$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count8869$0
99215Established patient office or other outpatient visit, 40-54 minutes8038$0
80048Blood test, basic group of blood chemicals (calcium, total)7660$0
View full utilization report →

Insurance plans in this area (ZIP 55407)

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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: 4587573613View full group profile

Reviews

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Frequently asked questions

Is there an official ID for DR. MONA S.I. ROACH (M.D.) in U.S. healthcare records?
The official identifier for DR. MONA S.I. ROACH (M.D.) is NPI 1619946282.
Active or inactive — what applies to DR. MONA S.I. ROACH (M.D.)?
You should see DR. MONA S.I. ROACH (M.D.) as active in CMS-hosted NPPES data.
What area of care is associated with DR. MONA S.I. ROACH (M.D.)?
DR. MONA S.I. ROACH (M.D.)'s record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. MONA S.I. ROACH (M.D.)?
Directory geography for DR. MONA S.I. ROACH (M.D.) centers on Minneapolis, Minnesota.
Can I trust this NPI listing for DR. MONA S.I. ROACH (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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