P Praxis·MD
● Active Type 1 · Individual

Nathan Lee Roach, MD

Internal Medicine·Boise, ID· NPI 1396206181 · Enumerated 2019 · 7 years on NPI
Roach is 1 of 6 internal medicine providers in Boise and 1 of 9 in Idaho.
NPI age
7 years
Enumerated 2019-03-26
Primary specialty
Internal Medicine
Plus 1 subspecialty
Licensed in
ID, IN
2 states
Status
Active
No deactivations on record
Last NPPES update
2023-07-03
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 9 active internal medicine providers in Idaho.

NPI age
7 years
≈ at median (7 yr)
State licenses
2 states
Top 55% — 44% of peers are multi-state
Subspecialties
1
In the 77% of peers with subspecialties

NPI lifetime · 2019 → 2026

2019-03Enumerated in NPPES
2019 2026

Where they practice

Practice location
190 E Bannock St
Boise, ID 837126241
📞 2083811615
Mailing address
190 E Bannock St
Boise, ID 837126241

Additional practice locations

1 secondary location on file with NPPES.

Location 2
10122 E 10th St Ste 100
Indianapolis, IN 462292697
📞 3173555717

Specialties

  • Internal Medicine Primary
    An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team...
    ID license #M-17232 taxonomy 207RH0002X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    IN license #11020323A taxonomy 390200000X

Practice context

Part of a multi-provider practice. 671 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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