Active NPI
William Harrison Roth, M.D.
- Neurology Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 036166727
- Practice address
- 5841 S Maryland Ave
Chicago, IL 60637-1443 - Phone
- (888) 824-0200
- NPI assigned
- Jul 23, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 036166727 | IL | Primary |
| Neurology Physician | 2084N0400X | 01091549A | IN | |
| Neurocritical Care Physician | 2084A2900X | ME146704 | FL |
Addresses
Primary practice location
5841 S Maryland Ave
Chicago, IL 60637-1443
Mailing address
PO Box 100236
Gainesville, FL 32610-0236
Phone (352) 273-5550
Other practice location 1
1 Ingalls Dr
Harvey, IL 60426-3558
Phone (888) 824-0200
Other practice location 2
10855 Virginia St
Crown Point, IN 46307-0210
Phone (888) 824-0200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 107572100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
105 S 1St St
Willmington, IL 60481-8973
Phone (815) 476-5210
10855 Virginia St
Suite 1700
Crown Point, IN 46307-0210
Phone (888) 824-0200
350 N Wall St 4TH Floor
Kankakee, IL 60901-2901
Phone 81593316714592
5841 S Maryland Ave
Chicago, IL 60637-1443
Phone (888) 824-0200
Hospital & facility affiliations
- The University of Chicago Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME146704 | FL | MD | Neurocritical Care Physician |
| 01091549A | IN | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside Health System | Current | Accepting new patients | |
| The University of Chicago Medical Center | Current | Accepting new patients | |
| The University of Chicago Medical Center | Current | Accepting new patients | |
| Riverside Health System | Current | Accepting new patients | |
| University of Chicago | Current | Accepting new patients | |
| The Methodist Hospitals, Inc | Past | Accepting new patients |
Locations
150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061
1 Ingalls Dr
Harvey, IL 60426
Phone (708) 333-2300
350 N Wall St
Kankakee, IL 60901
Phone (815) 935-7500
375 N Wall St
Ste P510
Kankakee, IL 60901
Phone (815) 935-0750
120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700
105 S First St
Wilmington, IL 60481
Phone (815) 476-5210
10855 Virginia St
Ste 1700
Crown Point, IN 46307
10855 Virginia St
Ste 2700
Crown Point, IN 46307
1500 S Lake Park Ave
Ste 109
Hobart, IN 46342
Phone (219) 942-0551
Interoperability endpoints
- wroth279100@uchospital.direct-ci.com
Organizations & group practices 6
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.
-
- General Practice Physician
- Kankakee, IL
- NPI 1417061193
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1033218128
-
- Internal Medicine Physician
- Gary, IN
- NPI 1720290349
-
- Psychiatry Physician
- Kankakee, IL
- NPI 1336354430
-
- Community/Retail Pharmacy
- Calumet City, IL
- NPI 1255895678
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1508956509
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761091200000",
"number": "1124460803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 100236",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326100236",
"telephone_number": "352-273-5550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5841 S MARYLAND AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606371443",
"telephone_number": "888-824-0200"
}
],
"practiceLocations": [
{
"address_1": "1 Ingalls Dr",
"address_purpose": "LOCATION",
"city": "Harvey",
"state": "IL",
"postal_code": "604263558",
"country_code": "US",
"telephone_number": "888-824-0200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10855 Virginia St",
"address_purpose": "LOCATION",
"city": "Crown Point",
"state": "IN",
"postal_code": "463070210",
"country_code": "US",
"telephone_number": "888-824-0200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROTH",
"first_name": "WILLIAM",
"middle_name": "HARRISON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-23",
"last_updated": "2025-10-22",
"certification_date": "2025-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IL",
"license": "036166727",
"primary": true
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IN",
"license": "01091549A",
"primary": false
},
{
"code": "2084A2900X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurocritical Care",
"state": "FL",
"license": "ME146704",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "107572100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; 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.