Niall Roche
NPI 1194755918 · Specialist · Pleasanton, CA
Enrolled with Medicare as Practitioner - Rheumatology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Niall Roche is a Specialist provider in Pleasanton, CA (NPI 1194755918).
Provider details
- NPI number
- 1194755918
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- A52808 (CA)
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
951 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 906 | $153 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 45 | $197 |
Typical Medicare-allowed amounts for these services range $153–$197 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 19 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisone | 352 | 65 |
| Tramadol Hcl | 113 | 24 |
| Celecoxib | 103 | 31 |
| Hydroxychloroquine Sulfate | 72 | 16 |
| Methotrexate Sodiumbrand: Methotrexate | 71 | 20 |
| Allopurinol | 60 | 17 |
| Amitriptyline Hcl | 27 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$3,691 across 44 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-04
- Last updated
- 2009-01-13
Frequently asked questions
- What is Niall Roche's NPI number?
- Niall Roche's National Provider Identifier (NPI) is 1194755918, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Niall Roche's specialty?
- Niall Roche is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Niall Roche located?
- Niall Roche's practice location on file with NPPES is 5565 W Las Positas Blvd, Pleasanton, CA 94588-4001.
- What is Niall Roche's phone number?
- The practice phone number listed in the NPPES registry for Niall Roche is (925) 924-9100.
- Does Niall Roche accept Medicare?
- Niall Roche is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Niall Roche's NPI active?
- Yes — Niall Roche's NPI (1194755918) is active in the NPPES registry as of the last update on 2009-01-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.