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Michael Justin Roach

Hearing Instrument Specialist β€’ Tyler, TX

Active NPI 1124523907 Individual Practitioner Male Practitioner
Practice location in NPPES

4411 Old Bullard Rd Ste 501
Tyler, TX 757031215

Call 9036305600 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4411 Old Bullard Rd Ste 501

Tyler, TX 757031215

Telephone 9036305600
Fax 9036305601
Organization at the Same NPPES Address or Phone
East Texas Hearing Aids, Llc Facility NPI 1164074126

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Tyler and Texas

17 active clinicians are listed under Hearing Instrument Specialist with a practice address in Tyler, TX (829 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Tyler

0% of these 17 clinicians have the CMS telehealth indicator.

0% of these 17 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Hearing Instrument Specialist Primary Specialty

NUCC Taxonomy Code: 237700000X

License # reported to NPPES TX 80319

Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location July 02, 2019

Registered at 4411 OLD BULLARD RD STE 501, TYLER, TX 757031215 (Tel: 9036305600)

πŸ“
Updated Business Mailing Address July 02, 2019

Registered at 4411 OLD BULLARD RD STE 501, TYLER, TX 757031215 (Tel: 9036305600)

βœ…
NPI Profile Active March 26, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 26, 2018

Registered at 1400 WSW LOOP 323 STE 100, TYLER, TX 757017201 (Tel: 9035955580)

πŸ“
Business Mailing Address (Initial Record) March 26, 2018

Registered at 1400 WSW LOOP 323 STE 100, TYLER, TX 757017201 (Tel: 9035955580)

πŸ‘€
Provider Name / Credentials (Initial Record) March 26, 2018

Recorded as MICHAEL ROACH

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 26, 2018

Hearing Instrument Specialist (license number reported to NPPES: TX 80319)

🟒
Initial NPI Registration & Enumeration March 26, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1124523907
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 26, 2018
Last Update: July 02, 2019
Sole Proprietor: Yes

Mailing Address

4411 Old Bullard Rd Ste 501

Tyler, TX 757031215

Phone: 9036305600

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.