NPIMap

Individual provider Active NPI

Stuart Todd Roth, MD

  • Diagnostic Radiology Physician
  • Oxford, MS
National Provider Identifier
1053350678
Registry record updated May 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
12787 Issued in MS
Practice address
1100 Belk Blvd
Oxford, MS 38655-5373
Phone
(662) 232-8100
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 12787 MS Primary

Addresses

Primary practice location

1100 Belk Blvd
Oxford, MS 38655-5373

Mailing address

791 Walnut Knoll LN
Cordova, TN 38018-8839
Phone (901) 755-7001

Other identifiers 1

IdentifierTypeStateIssuer
116170MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041129000683 MS Practitioner - Diagnostic Radiology 9931197308 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
East Tennessee State University Quillen College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates of Oxford - PAGroup PAC ID 1052309424, 13 clinicians

Practice addresses (Care Compare)

1100 Belk Blvd
Oxford, MS 38655-5242
Phone (662) 232-8100

504 Azalea Dr
Oxford, MS 38655-5397
Phone (662) 232-8100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.47 of 100Reported as group
Quality
85.42
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Associates of Oxford - PA Diagnostic Radiology CurrentSince Apr 15, 1994 Accepting new patients
BMH North Mississippi Imaging Services, LLC CurrentSince Oct 1, 2008 Accepting new patients

Locations

303 Medical Center Dr
Batesville, MS 38606
Phone (662) 563-0155

340 Getwell St
Marks, MS 38646
Phone (662) 326-8031

504 Azalea Dr
Oxford, MS 38655
Phone (662) 513-9600

1100 Belk Blvd
Oxford, MS 38655
Phone (662) 636-1000

2301 S Lamar Blvd
Oxford, MS 38655
Phone (662) 232-8369

Organizations & group practices 4

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683417600000",
    "number": "1053350678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "791 WALNUT KNOLL LN",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380188839",
            "telephone_number": "901-755-7001",
            "fax_number": "901-753-2896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 BELK BLVD",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555373",
            "telephone_number": "662-232-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "STUART",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2023-05-07",
        "certification_date": "2023-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MS",
            "license": "12787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116170",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MS

Sources for this page

Verify at the official NPI Registry.