Peyton Matthew Roteff, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

MD61470134 Issued in WA

Practice address

11995 Singletree LN Ste 500
Eden Prairie, MN 55344-5349

Phone

(952) 595-1100

Fax

(612) 294-4903

NPI assigned

Apr 25, 2019

Last updated

Jul 9, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA, CA, AZ, SC4 enrollments

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 4

Specialty

Diagnostic Radiology

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Red River Consultants IncGroup PAC ID 1355303363, 56 clinicians

South Jersey Radiology Associates P aGroup PAC ID 9133115587, 202 clinicians

Sonoran Radiology LTDGroup PAC ID 3375964505, 466 clinicians

Fred Smeltzer MD and Associates IncGroup PAC ID 8921078304, 95 clinicians

Memphis Physicians Radiological Group PCGroup PAC ID 9830123736, 79 clinicians

Englewood Radiologic Group P aGroup PAC ID 6901852300, 131 clinicians

Virtual Radiologic Professionals LLCGroup PAC ID 4981608817, 392 clinicians

Southern Delaware Imaging AssocGroup PAC ID 0547159709, 43 clinicians

St Paul Place Specialists, Inc.Group PAC ID 7719882943, 332 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Beebe Medical Center Hospital, Lewes, DE, CCN 080007
• Virginia Hospital Center Hospital, Arlington, VA, CCN 490050
• Mercy Hospital Fort Smith Hospital, Fort Smith, AR, CCN 040062
• West Jersey Hospital Hospital, Voorhees, NJ, CCN 310022
• Willis Knighton Medical Center Hospital, Shreveport, LA, CCN 190111

Merit-based Incentive Payment System (MIPS)

Final score

97.32 of 100Reported as group

Quality

91.68

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: casacolina@direct.casacolina.org

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.

• Virtual Radiologic Professionals, LLC

  • Diagnostic Radiology Physician
  • Edina, MN
  • NPI 1932342029

  WA

  Medicare reassignment Care Compare group NPD
• Englewood Radiologic Group P a

  • Diagnostic Radiology Physician
  • Englewood, NJ
  • NPI 1639136914

  WA

  Medicare reassignment Care Compare group NPD
• Fred Smeltzer MD & Associates Inc

  dba Lake of the Ozarks Radiology

  • Diagnostic Radiology Physician
  • Osage Beach, MO
  • NPI 1639122286

  WA

  Medicare reassignment Care Compare group NPD
• Red River Consultants, Inc

  • Diagnostic Radiology Physician
  • Shreveport, LA
  • NPI 1902877426

  WA

  Medicare reassignment Care Compare group NPD
• Sonoran Radiology LTD

  • Vascular & Interventional Radiology Physician
  • Mesa, AZ
  • NPI 1033745708

  Diagnostic Radiology, WA

  Medicare reassignment Care Compare group NPD
• South Jersey Radiology Associates P a

  • Diagnostic Radiology Physician
  • Voorhees, NJ
  • NPI 1477551653

  WA

  Medicare reassignment Care Compare group NPD
• Southern Delaware Imaging Assoc

  • Diagnostic Radiology Physician
  • Lewes, DE
  • NPI 1780780627

  WA

  Medicare reassignment Care Compare group NPD
• St Paul Place Specialists Inc

  • Diagnostic Radiology Physician
  • Baltimore, MD
  • NPI 1497707681

  WA

  Medicare reassignment Care Compare group NPD
• Memphis Physicians Radiological Group PC

  • Diagnostic Radiology Physician
  • Memphis, TN
  • NPI 1134231574

  WA

  Medicare reassignment Care Compare group
• Atlantic Radiology Associates, LLC

  • Diagnostic Radiology Physician
  • Savannah, GA
  • NPI 1033136080

  WA

  Medicare reassignment NPD
• Claremont Imaging Associates, a Medical Corporation

  • Diagnostic Radiology Physician
  • Pomona, CA
  • NPI 1619068921

  WA

  Medicare reassignment NPD
• Kern County Hospital Authority

  dba Kern Medical Center

  • General Acute Care Hospital
  • Bakersfield, CA
  • NPI 1376623538

  WA

  Medicare reassignment NPD

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

• Beebe Medical Center, Inc.

  • General Acute Care Hospital
  • Lewes, DE
  • NPI 1821196486
  Care Compare affiliation
• Mercy Hospital Fort Smith

  • General Acute Care Hospital
  • Fort Smith, AR
  • NPI 1568433480
  Care Compare affiliation
• Virginia Hospital Center Arlington Health System

  • General Acute Care Hospital
  • Arlington, VA
  • NPI 1790785996
  Care Compare affiliation
• Virtua - West Jersey Health System, Inc.

  • General Acute Care Hospital
  • Voorhees, NJ
  • NPI 1528064409
  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  dba WK Bossier Health Center

  • General Acute Care Hospital
  • Bossier City, LA
  • NPI 1003968579
  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  dba Willis Knighton South Hospital

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1124170691
  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  dba WK Pierremont Health Center

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1275685539
  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1568461572
  Care Compare affiliation

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

{
    "created_epoch": "1556150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1306400361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11995 SINGLETREE LN STE 500",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445349",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11995 SINGLETREE LN STE 500",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445349",
            "telephone_number": "952-595-1100",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTEFF",
        "first_name": "PEYTON",
        "middle_name": "MATTHEW",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-25",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": "338842",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD61470134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ros Home Health Care, Inc.
• Ros Medical Supply Inc
• Rosario Grau MD PA
• Kimberly Roseman, LADC
• Claire Rosen, MA, LPCC, LADC
• Eira Roth, M.D.
• Stephen Edward Roudabush, RPH
• Royal Care Chiropractic PLLC
• Matthew John Rudberg, PA-C
• Margaret A Rudolph, APN

• Diagnostic Radiology Physician in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Diagnostic Radiology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.