Ronald Roth, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

ME34473 Issued in FL

Practice address

1824 Salk Ave
Tavares, FL 32778-4300

Phone

(352) 253-0244

Fax

(352) 253-1175

NPI assigned

Oct 12, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

GastroenterologyAlso: Internal Medicine

Education

Albany Medical College of Union University, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ronald Roth MD PAGroup PAC ID 2668669508, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Waterman Hospital, Tavares, FL, CCN 100057

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• FL HMO D-SNP
• Optimum HealthCare HMO Network
• Freedom Health HMO Network
• FL HMO
• FL PPO
• FL HMO C-SNP

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ronald Roth MD PA

  • Gastroenterology Physician
  • Tavares, FL
  • NPI 1992841662
  Medicare reassignment Care Compare group NPD Authorized official
• Santiago W Calderon MD PA

  • Infectious Disease Physician
  • Palm Coast, FL
  • NPI 1871745976
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Florida Hospital Waterman Inc

  • General Acute Care Hospital
  • Tavares, FL
  • NPI 1821019571
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192147200000",
    "number": "1013105253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1824 SALK AVE",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327784300",
            "telephone_number": "352-253-0244",
            "fax_number": "352-253-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1824 SALK AVE",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327784300",
            "telephone_number": "352-253-0244",
            "fax_number": "352-253-1175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "RONALD",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-12",
        "last_updated": "2007-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME34473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "93724",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "372604500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ronald Roth MD PA
• Jocabed Fernanda Rosales Perez, SA-C
• Arlene Rosen
• Rachel Rosol, PA-C
• Teresa C Ross, PT
• Chad M Rowland, RT(R)(CT)
• Maxine A Ruddock, PH.D.
• Stephanie Nicole Rude, APRN, AGACNP
• Jose Manuel Ruiz Sepulveda, MD
• Emerald Lolita Russell-Nathan, MD

• Gastroenterology Physician in Tavares, FL
• Providers in Tavares, FL by specialty
• Gastroenterology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.