Individual provider Active NPI

Lauren Roth, MD

  • Reproductive Endocrinology Physician
  • Rockville, MD
National Provider Identifier
1417003047
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
D0080004 Issued in MD
Practice address
9601 Blackwell Rd Ste 4
Rockville, MD 20850-6474
Phone
(301) 341-1188
NPI assigned
Jan 26, 2007
Last updated
Dec 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology Physician 207VE0102X 455453 PA
Reproductive Endocrinology Physician 207VE0102X D0080004 MD Primary

Addresses

Primary practice location

9601 Blackwell Rd Ste 4
Rockville, MD 20850-6474

Mailing address

9601 Blackwell Rd Ste 4
Rockville, MD 20850-6474
Phone (301) 340-1188

Other practice location 1

165 Thomas Johnson Dr Ste F
Frederick, MD 21702-4742
Phone (301) 631-1180

Other practice location 2

6400 Brooktree Ct Ste 100
Wexford, PA 15090-9282
Phone (412) 785-1057

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20100929001050 CO Practitioner - Obstetrics/Gynecology 6305962184 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0080004MDMDReproductive Endocrinology Physician
455453PAMDReproductive Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Physicians, Incorporated CurrentSince Jul 1, 2010 Accepting new patients
Denver Health and Hospital Authority CurrentSince Jul 29, 2013 Accepting new patients
Denver Health and Hospital Authority CurrentSince Jul 29, 2013 Accepting new patients
University Physicians Incorporated CurrentSince Jul 1, 2010 Accepting new patients
Shady Grove Reproductive Science Center PC PastSince Dec 22, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Shady Grove Fertility Reproductive Science Center Reproductive Endocrinology Past Accepting new patients
Shady Grove Fertility Center of Pennsylvania PLC Reproductive Endocrinology Past Accepting new patients

Locations

13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846

777 Bannock St
Denver, CO 80204

Dept 1061
Denver, CO 80256

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1417003047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9601 BLACKWELL RD STE 4",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506474",
            "telephone_number": "301-340-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 BLACKWELL RD STE 4",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506474",
            "telephone_number": "301-341-1188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "165 Thomas Johnson Dr Ste F",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217024742",
            "country_code": "US",
            "telephone_number": "301-631-1180",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6400 Brooktree Ct Ste 100",
            "address_purpose": "LOCATION",
            "city": "Wexford",
            "state": "PA",
            "postal_code": "150909282",
            "country_code": "US",
            "telephone_number": "412-785-1057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROTH",
        "first_name": "LAUREN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "PA",
            "license": "455453",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "MD",
            "license": "D0080004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.