Individual provider Active NPI

Casey Roth, M.D.

  • Obstetrics & Gynecology Physician
  • Dallas, TX
National Provider Identifier
1366820250
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
S2885 Issued in TX
Practice address
3900 Junius St Ste 145
Dallas, TX 75246-1616
Phone
(214) 377-1699
NPI assigned
May 11, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X S2885 TX Primary

Addresses

Primary practice location

3900 Junius St Ste 145
Dallas, TX 75246-1616

Mailing address

3900 Junius St Ste 145
Dallas, TX 75246-1616
Phone (214) 377-1699

Other practice location 1

3500 Gaston Ave
Dallas, TX 75246-2017
Phone (214) 820-2361

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20191009003302 TX Practitioner - Obstetrics/Gynecology 0547580862 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Texas a & M University System, HSC, College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Magnolia Obstetrics and Gynecology PLLCGroup PAC ID 5991854317, 5 clinicians

Practice addresses (Care Compare)

3900 Junius St
Suite 145
Dallas, TX 75246-1616
Phone 2143771699309

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S2885TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Magnolia Obstetrics & Gynecology PLLC CurrentSince Sep 10, 2019 Accepting new patients
OB Hospitalists of Texas, P.a. Obstetrics & Gynecology CurrentSince Mar 15, 2024 Accepting new patients
Baylor University Medical Center Past Accepting new patients

Locations

4224 Swiss Ave
Dallas, TX 75204
Phone (214) 821-9938

3500 Gaston Ave
Dallas, TX 75246

3600 Gaston Ave
Ste 601
Dallas, TX 75246
Phone (214) 377-1699

6125 Luther Ln
Dallas, TX 75225
Phone (214) 612-6518

3900 Junius St
Ste 145
Dallas, TX 75246
Phone (214) 377-1699

Interoperability endpoints

  • Direct secure messaging: casey.roth.1@31882.direct.athenahealth.com

Organizations & group practices 3

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": "1431302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1366820250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 JUNIUS ST STE 145",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461616",
            "telephone_number": "214-377-1699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 JUNIUS ST STE 145",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461616",
            "telephone_number": "214-377-1699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3500 Gaston Ave",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752462017",
            "country_code": "US",
            "telephone_number": "214-820-2361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROTH",
        "first_name": "CASEY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-11",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "S2885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.