Cheryl A Roth, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

18857 Issued in NE

Practice address

3907 6TH Ave
Kearney, NE 68845-3392

Phone

(308) 865-2767

Fax

(308) 865-2765

NPI assigned

Oct 17, 2006

Last updated

Jan 19, 2012By the provider in NPPES

Sex

Female

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 1

Medicare fee-for-service enrollment

Enrolled in NE

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

Family PracticeAlso: Emergency Medicine

Education

University of Iowa, RJ & L Carver College of Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alegent Creighton ClinicGroup PAC ID 1951210418, 951 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• CHI Health St. Elizabeth Hospital, Lincoln, NE, CCN 280020

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alegent Creighton Clinic

  dba CHI Health Clinic

  • Family Medicine Physician
  • Omaha, NE
  • NPI 1548287907
  Medicare reassignment Care Compare group NPD
• Midwest Emergency Grand Island Inc

  • Emergency Medicine Physician
  • Grand Island, NE
  • NPI 1508357930
  Medicare reassignment NPD
• North Platte Nebraska Hospital Corporation

  dba Great Plains Health

  • General Acute Care Hospital
  • North Platte, NE
  • NPI 1700855533
  Medicare reassignment NPD
• North Platte Nebraska Hospital Corporation

  dba Great Plains Health

  • Medical Oncology Physician
  • North Platte, NE
  • NPI 1134355332
  NPD
• Elm Creek Rural Fire Protection District No 7

  dba Elm Creek Vol. Fire and Rescue Department

  • Land Ambulance
  • Elm Creek, NE
  • NPI 1932306552
  NPD (past)
• Good Samaritan Hospital

  dba CHI Health Richard Young Behavioral Health

  • Psychiatric Hospital Unit
  • Kearney, NE
  • NPI 1114942869
  NPD (past)
• Lincoln Medical Education Partnership

  dba Lincoln Family Medicine Center

  • Family Medicine Physician
  • Lincoln, NE
  • NPI 1891703708
  NPD (past)

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

• Saint Elizabeth Regional Medical Center

  dba CHI Health St. Elizabeth

  • General Acute Care Hospital
  • Lincoln, NE
  • NPI 1336155738
  Care Compare affiliation

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326931200000",
    "number": "1245311570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3907 6TH AVE",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688453392",
            "telephone_number": "308-865-2767",
            "fax_number": "308-865-2765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3907 6TH AVE",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688453392",
            "telephone_number": "308-865-2767",
            "fax_number": "308-865-2765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "CHERYL",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2012-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "18857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47059237913",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina M Rosario, MT
• Farrah Lee Rosentreader, DNP, FNP-C
• Kelsey Ross
• Tarah Ross
• Teresa Lynn Rotert
• Tiarra L Rouse, PT
• Aaron Rowan
• Roz Sheldon Counseling LLC
• Gilbert A Rude, M.D.
• Betsabet Merari Ruiz

• Family Medicine Physician in Kearney, NE
• Providers in Kearney, NE by specialty
• Family Medicine Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; 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.