Active NPI
Kayli Ann Roth, DO
- Anatomic Pathology & Clinical Pathology Physician
- Bethesda, MD
National Provider Identifier
1356929681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 0102207388
- Practice address
- 8955 Wood Rd
Building 1, 19TH Floor
Bethesda, MD 20889-5628 - Phone
- (301) 295-0537
- NPI assigned
- Mar 30, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 0102207388 | VA | Primary |
Addresses
Primary practice location
8955 Wood Rd
Building 1, 19TH Floor
Bethesda, MD 20889-5628
Mailing address
8955 Wood Rd
Building 1, 19TH Floor
Bethesda, MD 20889-5628
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0102207388 | VA | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781222400000",
"number": "1356929681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8955 WOOD RD",
"address_2": "BUILDING 1, 19TH FLOOR",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208895628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8955 WOOD RD",
"address_2": "BUILDING 1, 19TH FLOOR",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208895628",
"telephone_number": "301-295-0537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTH",
"first_name": "KAYLI",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-30",
"last_updated": "2026-06-12",
"certification_date": "2026-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "VA",
"license": "0102207388",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.