Active NPI
Christopher Charles Roth, M.D.
- Pediatric Urology Physician
- New Orleans, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Urology Physician
- License
- 026088
- Practice address
- 200 Henry Clay Ave
New Orleans, LA 70118-5798 - Phone
- (504) 896-9233
- Fax
- (504) 896-9861
- NPI assigned
- Jun 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Urology Physician | 2088P0231X | 026088 | LA | Primary |
| Pediatric Urology Physician | 2088P0231X | ME133119 | FL |
Addresses
Primary practice location
200 Henry Clay Ave
New Orleans, LA 70118-5798
Mailing address
200 Henry Clay Ave
New Orleans, LA 70118-5720
Phone (504) 896-9233
Other practice location 1
8331 N Davis Hwy
Pensacola, FL 32514-6094
Phone (850) 505-4700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 022277000 | Medicaid | FL | |
| 1050423 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA, FL
- 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
- Urology
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Henry Clay Ave
New Orleans, LA 70118-5720
Phone (504) 412-1860
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026088 | LA | MD | Pediatric Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Nemours Foundation | Current | Accepting new patients | |
| The Nemours Foundation | Current | Accepting new patients | |
| Louisiana State University School of Medicine in New Orleans Faculty G | Current | Accepting new patients | |
| The Nemours Foundation | Current | Accepting new patients | |
| Children'S Hospital | Current | Accepting new patients | |
| Louisiana State University School of Medicine in New Orleans Faculty G | Current | Accepting new patients | |
| Children'S Hospital | Current | Accepting new patients | |
| Lsuhsc New Orleans Physicians | Past | Accepting new patients |
Locations
10140 Centurion Pkwy N
Jacksonville, FL 32256
Phone (904) 697-4100
807 Childrens Way
Jacksonville, FL 32207
Phone (904) 390-3600
8331 N Davis Hwy
Pensacola, FL 32514
Phone (850) 505-4700
8331 N Davis Hwy
Spc Care
Pensacola, FL 32514
Phone (850) 505-4700
5153 N 9th Ave
Pensacola, FL 32504
Phone (850) 416-1575
200 Henry Clay Ave
Fl 1
New Orleans, LA 70118
Phone (504) 232-1562
2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287
2832 Burdette St
New Orleans, LA 70125
Phone (504) 866-2741
1542 Tulane Ave
New Orleans, LA 70112
Phone (504) 866-2741
200 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 412-1860
Interoperability endpoints
- croth@direct.mhg.com
- croth67986@direct.nemours.org
Organizations & group practices 10
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.
-
- Pediatrics Physician
- New Orleans, LA
- NPI 1932492626
-
- Specialist
- New Orleans, LA
- NPI 1043230873
-
- Multi-Specialty Clinic/Center
- Jacksonville, FL
- NPI 1386658615
-
- Multi-Specialty Clinic/Center
- New Orleans, LA
- NPI 1477582526
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- New Orleans, LA
- NPI 1568597649
-
- Durable Medical Equipment & Medical Supplies
- Kenner, LA
- NPI 1316417629
-
- Clinical Medical Laboratory
- New Orleans, LA
- NPI 1508066283
-
- Multi-Specialty Clinic/Center
- Jacksonville, FL
- NPI 1265585806
-
- Children's Hospital
- Wilmington, DE
- NPI 1467505073
-
- Pediatrics Physician
- New Orleans, LA
- NPI 1447487145
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Children's Hospital
- New Orleans, LA
- NPI 1104819366
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594857600000",
"number": "1194920462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 HENRY CLAY AVE",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701185720",
"telephone_number": "504-896-9233",
"fax_number": "504-896-9861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HENRY CLAY AVE",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701185798",
"telephone_number": "504-896-9233",
"fax_number": "504-896-9861"
}
],
"practiceLocations": [
{
"address_1": "8331 N Davis Hwy",
"address_purpose": "LOCATION",
"city": "Pensacola",
"state": "FL",
"postal_code": "325146094",
"country_code": "US",
"telephone_number": "850-505-4700",
"fax_number": "850-505-4711",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROTH",
"first_name": "CHRISTOPHER",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-18",
"last_updated": "2020-07-16",
"certification_date": "2020-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "2088P0231X",
"taxonomy_group": "",
"desc": "Urology, Pediatric Urology",
"state": "LA",
"license": "026088",
"primary": true
},
{
"code": "2088P0231X",
"taxonomy_group": "",
"desc": "Urology, Pediatric Urology",
"state": "FL",
"license": "ME133119",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "022277000",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1050423",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; 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.