Individual provider Active NPI

Donald Perrin Roten Jr., MD

  • Surgery Physician
  • New Albany, MS
National Provider Identifier
1326094806
Registry record updated Oct 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
16453 Issued in MS
Practice address
500 W Bankhead St
New Albany, MS 38652-3101
Phone
(662) 534-7474
Fax
(662) 534-7100
NPI assigned
May 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 16453 MS Primary

Addresses

Primary practice location

500 W Bankhead St
New Albany, MS 38652-3101

Mailing address

PO Box 405827
Atlanta, GA 30384-5800

Other identifiers 1

IdentifierTypeStateIssuer
09733845MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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

Enrollment IDStateProvider typePAC IDDetails
I20150213001414 MS Practitioner - General Surgery 3072614361 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Mississippi School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

200 Hwy 30 W
New Albany, MS 38652-3112
Phone (662) 538-2535

200 State Hwy 30 W
Suite 100
New Albany, MS 38652-3112
Phone (662) 538-2680

255 Baptist Blvd
Columbus, MS 39705-2006

452 W Bankhead St
New Albany, MS 38652-3319
Phone (662) 534-3724

456 W Bankhead St
New Albany, MS 38652-3319
Phone (662) 534-7474

PO Box
Suite 405827
Atlanta, GA 30384-5827

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.87 of 100Reported as group
Quality
64.75
Promoting interoperability
100
Improvement activities
40
Cost
74.81

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy65
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux61
Melanoma (skin cancer) excision39
Removal of tissue1-10
Removal of skin lesions128
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
16453MSMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Memorial Medical Group Inc Surgery CurrentSince Jan 15, 2015 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Jan 15, 2015 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Baptist Memorial Hospital Union County, Inc. Past Accepting new patients
Baptist Memorial Health Services, Inc. of Mississippi Past Accepting new patients

Locations

255 Baptist Blvd
Ste 301
Columbus, MS 39705
Phone (662) 244-2288

500 W Bankhead St
New Albany, MS 38652
Phone (662) 534-7474

452 W Bankhead St
New Albany, MS 38652
Phone (601) 968-8132

965 Ridge Lake Blvd
Ste 103
Memphis, TN 38120
Phone (901) 227-3221

7205 Wolf River Blvd
Ste 100
Memphis, TN 38138
Phone (901) 507-9466

Interoperability endpoints

  • Direct secure messaging: droten53865@direct.bmhcc.org

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477267200000",
    "number": "1326094806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 405827",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303845800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W BANKHEAD ST",
            "city": "NEW ALBANY",
            "state": "MS",
            "postal_code": "386523101",
            "telephone_number": "662-534-7474",
            "fax_number": "662-534-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTEN",
        "first_name": "DONALD",
        "middle_name": "PERRIN",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2016-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MS",
            "license": "16453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09733845",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, MS

Sources for this page

Verify at the official NPI Registry.