Individual provider Active NPI

Maurice Roth, M.D.

  • Otolaryngology Physician
  • Philadelphia, PA
National Provider Identifier
1477512689
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MD052327L Issued in PA
Practice address
9150 Marshall St
Suite 4
Philadelphia, PA 19114-2217
Phone
(215) 676-4550
Fax
(215) 676-4711
NPI assigned
Mar 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X MD052327L PA Primary

Addresses

Primary practice location

9150 Marshall St
Suite 4
Philadelphia, PA 19114-2217

Mailing address

9150 Marshall St
Suite 4
Philadelphia, PA 19114-2217
Phone (215) 676-4550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20110222000040 PA Practitioner - Otolaryngology 3678584414 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Northwestern University Feinberg Medical School, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

205 Newtown Rd
Suite 202
Warminster, PA 18974-5207
Phone (215) 443-0333

9150 Marshall St
Suite 4
Philadelphia, PA 19114-2217
Phone (215) 676-4550

Hospital & facility affiliations

  • Jefferson Abington Hospital Hospital, Abington, PA, CCN 390231

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Roth Ear, Nose & Throat Associates PC Otolaryngology CurrentSince Dec 19, 2010 Accepting new patients

Locations

9150 Marshall St
Ste 4
Philadelphia, PA 19114
Phone (215) 676-4550

205 Newtown Rd
Ste 202
Warminster, PA 18974
Phone (215) 443-0333

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JCEADD/Endpoint/JCEADD

Organizations & group practices 1

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": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1477512689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9150 MARSHALL ST",
            "address_2": "SUITE 4",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191142217",
            "telephone_number": "215-676-4550",
            "fax_number": "215-676-4711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9150 MARSHALL ST",
            "address_2": "SUITE 4",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191142217",
            "telephone_number": "215-676-4550",
            "fax_number": "215-676-4711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "MAURICE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PA",
            "license": "MD052327L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.