Active NPI
Mark Roth, MD
- Cytopathology Physician
- Bethesda, MD
National Provider Identifier
1396352274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cytopathology Physician
- License
- D0046369
- Practice address
- National Cancer Institute BLDG 10, Room 2S235K
Bethesda, MD 20892-0001 - Phone
- (301) 480-8067
- NPI assigned
- Sep 25, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Cytopathology Physician | 207ZC0500X | D0046369 | MD | Primary |
Addresses
Primary practice location
National Cancer Institute BLDG 10, Room 2S235K
Bethesda, MD 20892-0001
Mailing address
6118 Offutt Rd
Chevy Chase, MD 20815-5427
Phone (240) 468-3915
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0046369 | MD | MD | Cytopathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600992000000",
"number": "1396352274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6118 OFFUTT RD",
"city": "CHEVY CHASE",
"state": "MD",
"postal_code": "208155427",
"telephone_number": "240-468-3915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NATIONAL CANCER INSTITUTE BLDG 10, ROOM 2S235K",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208920001",
"telephone_number": "301-480-8067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTH",
"first_name": "MARK",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-09-25",
"last_updated": "2020-09-25",
"certification_date": "2020-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "207ZC0500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pathology, Cytopathology",
"state": "MD",
"license": "D0046369",
"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 Sep 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.