NPI age
12 years
Enumerated 2014-04-06
● Active
Type 1 · Individual
Tyler Roe, DO
Roe is 1 of 2 anesthesiology providers in Burley and 1 of 29 in Idaho.
Primary specialty
Anesthesiology
Plus 1 subspecialty
Licensed in
ID, TX
2 states
Status
Active
No deactivations on record
Last NPPES update
2022-04-13
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 29 active anesthesiology providers in Idaho.
NPI age
12 years
↓ 4 yr below median (16 yr)
State licenses
2 states
Top 72% — 27% of peers are multi-state
Subspecialties
1
In the 58% of peers with subspecialties
NPI lifetime · 2014 → 2026
2014-04Enumerated in NPPES
2014
2026
Where they practice
Practice location
1344 Hiland Ave Ste A
Burley, ID 83318
Mailing address
1344 Hiland Ave Ste A
Burley, ID 833181564
Additional practice locations
1 secondary location on file with NPPES.
Location 2
4502 Medical Dr
San Antonio, TX 782294402
Specialties
-
Anesthesiology PrimaryAn anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs...
-
AnesthesiologyAn anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 388203701 | |
| 01 (TX) | 388203702 | CSHCN |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.