Michael E Roth, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

1272 Issued in TX

Practice address

1901 Babcock Rd Ste 102
San Antonio, TX 78229-4544

Phone

(210) 872-3668

Fax

(210) 428-6317

NPI assigned

Oct 4, 2006

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 3

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Barry University School of Podiatric Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Del Rio Foot Clinic PA 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Del Rio Foot Clinic P.a.

  • Multi-Specialty Clinic/Center
  • San Antonio, TX
  • NPI 1003901489

  Podiatrist, TX

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1104911486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 BRIGGS ST STE 600",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782241272",
            "telephone_number": "210-872-3668",
            "fax_number": "210-428-6317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 BABCOCK RD STE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294544",
            "telephone_number": "210-872-3668",
            "fax_number": "210-428-6317"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "94 Briggs St Ste 600",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782241272",
            "country_code": "US",
            "telephone_number": "210-872-3668",
            "fax_number": "210-428-6317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROTH",
        "first_name": "MICHAEL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121586504",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "480034724",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "83000G",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Ryan Rossomando, PA-C
• Melissa Reed Rosson, D.D.S.
• Adrienne Roth
• Joseph Roth
• Joyce Marie Roth, COTA
• Sarah Morris Rothan, MD
• Raquel Rother
• Reade Elizabeth Rotholz
• David Michael Rothrock, D.O
• Elizabeth Nancy Rothschild, MS, RD, CDN

• All providers in San Antonio, TX
• Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.