Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Peter G Roan, MD

Individual provider Interventional Cardiology Physician · NPI 1326037342

Peter G Roan, MD is an Interventional Cardiology in Nampa, Idaho. Graduated from University of Michigan Medical School in 1973, 53 years ago. Practices with Community Health Clinics Inc, a 74-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
53
Trained at
University of Michigan Medical School
Licensed in
ID
In the registry since
2005
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

207 1st St S
Nampa, ID 83651-3703
Phone: (208) 466-7869
Fax: (208) 466-5359
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4424 E Flamingo Ave, Nampa, ID 83687-9306 — (208) 302-0200

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence M-6613 (ID)
Interventional Cardiology Physician Taxonomy 207RI0011X · Licence M6613 (ID)
Interventional Cardiology Physician Taxonomy 207RI0011X · Licence M-6613 (ID)

Record details

NPI number1326037342
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 21, 2005
Last updated in NPPESJuly 22, 2025
Certification dateJuly 22, 2025
Mailing address3310 E Rivernest Ln, Boise, ID 83706-6928

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERVENTIONAL CARDIOLOGY
Medical schoolUNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated 1973 (53 years in practice)
Group practice Community Health Clinics Inc — 74 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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