Individual provider Active NPI

Michelle Elaine Roth, D.O.

  • Emergency Medicine Physician
  • Corpus Christi, TX
National Provider Identifier
1427412352
Registry record updated Oct 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
R6089 Issued in TX
Practice address
2606 Hospital Blvd
5 West
Corpus Christi, TX 78405
Phone
(361) 902-6762
NPI assigned
Apr 6, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X R6089 TX Primary

Addresses

Primary practice location

2606 Hospital Blvd
5 West
Corpus Christi, TX 78405

Mailing address

200 Corporate Blvd
Lafayette, LA 70508-3870
Phone (800) 893-9698

Other practice location 1

1311 General Cavazos Blvd
Kingsville, TX 78363-7150
Phone (361) 595-1661

Other practice location 2

1500 E Houston St
Beeville, TX 78102-5312
Phone (361) 354-2000

Other practice location 3

2500 E Main St
Alice, TX 78332-4261
Phone (361) 661-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180725001327 TX Practitioner - Emergency Medicine 3375890155 Reassigns benefits to 3 organizations
I20210202001851 AZ Practitioner - Emergency Medicine 3375890155 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Arizona College of Osteopathic Medicine Mid Western University, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Group of Arizona Professional CorporationGroup PAC ID 1355596644, 102 clinicians
Tec Emergency Physicians of Arizona, LLCGroup PAC ID 6204256084, 155 clinicians

Practice addresses (Care Compare)

3929 E Bell Rd
Phoenix, AZ 85032-2112
Phone (602) 923-5000

9130 E Elliot Rd
Mesa, AZ 85212-9675
Phone (888) 732-3317

Hospital & facility affiliations

  • Abrazo West Campus Hospital, Goodyear, AZ, CCN 030110
  • Dignity Health - Arizona General Hospital Hospital, Laveen, AZ, CCN 030136

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R6089TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Guadalupe Emergency Medicine Associates, PA Emergency Medicine CurrentSince Sep 11, 2018 Accepting new patients
Conner Emergency Medicine Associates, PA Emergency Medicine CurrentSince Sep 11, 2018 Accepting new patients
Tec Emergency Physicians of Arizona, LLC CurrentSince May 1, 2025 Accepting new patients
Emergency Group of Arizona Professional Corporation Emergency Medicine CurrentSince Jan 18, 2021 Accepting new patients
Nueces Emergency Medicine Associates PA Emergency Medicine CurrentSince Jul 28, 2019 Accepting new patients
Arizona Acute Medical Services 1 PC CurrentSince May 1, 2021 Accepting new patients

Locations

5227 E Carefree Hwy
Cave Creek, AZ 85331
Phone (602) 824-3900

13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200

7171 S 51st Ave
Laveen, AZ 85339
Phone (623) 584-5100

9130 E Elliot Rd
Mesa, AZ 85212
Phone (480) 410-4500

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000

1419 W Hunt Hwy
San Tan Vly, AZ 85143
Phone (480) 245-4300

5125 S Rural Rd
Tempe, AZ 85282
Phone (480) 306-8780

200 Corporate Blvd
Lafayette, LA 70508

2500 E Main St
Alice, TX 78332
Phone (361) 664-4376

1500 E Houston St
Beeville, TX 78102
Phone (361) 354-2000

2606 Hospital Blvd
Corpus Christi, TX 78405
Phone (361) 902-4151

3533 S Alameda St
Corpus Christi, TX 78411
Phone (361) 694-5445

2606 Hospital Blvd
#5W
Corpus Christi, TX 78405
Phone (361) 902-6570

600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511

1311 Gen Cvazos Blvd
Kingsville, TX 78363
Phone (361) 595-1661

Organizations & group practices 6

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539129600000",
    "number": "1427412352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870",
            "telephone_number": "800-893-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2606 HOSPITAL BLVD",
            "address_2": "5 WEST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "78405",
            "telephone_number": "361-902-6762"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1311 General Cavazos Blvd",
            "address_purpose": "LOCATION",
            "city": "Kingsville",
            "state": "TX",
            "postal_code": "783637150",
            "country_code": "US",
            "telephone_number": "361-595-1661",
            "fax_number": "361-595-5005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 E Houston St",
            "address_purpose": "LOCATION",
            "city": "Beeville",
            "state": "TX",
            "postal_code": "781025312",
            "country_code": "US",
            "telephone_number": "361-354-2000",
            "fax_number": "361-358-9322",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2500 E Main St",
            "address_purpose": "LOCATION",
            "city": "Alice",
            "state": "TX",
            "postal_code": "783324261",
            "country_code": "US",
            "telephone_number": "361-661-8000",
            "fax_number": "361-660-5112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROTH",
        "first_name": "MICHELLE",
        "middle_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-06",
        "last_updated": "2018-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "R6089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.