Ronald Matthew Roth, MD
Individual provider Active NPI Cardiovascular Disease Physician · Parowan, UT
NPI 1497795389 · NPPES record last updated Aug 29, 2025
Key facts
- NPI
- 1497795389
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- 275830I205 (UT)
- Practice address
- PO Box 1535
Parowan, UT 84761-1535 - Phone
- (702) 218-5374
- NPI assigned
- Jun 7, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100414000635 | NV | Practitioner - Cardiovascular Disease (Cardiology) | 4688614852 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 275830I205 | UT | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardiology & Cardiovascular Consultants LLP | Cardiovascular Disease | Current |
Accepting new patients |
Locations
620 Shadow Ln
Las Vegas, NV 89106
Phone (702) 388-4506
7020 Smoke Ranch Rd
#150
Las Vegas, NV 89128
Phone (702) 258-1601
500 S Rancho Dr
Ste 5
Las Vegas, NV 89106
Phone (702) 258-1601
700 Shadow Ln
Ste 166
Las Vegas, NV 89106
Phone (702) 258-1601
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EGHFCD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 5162 | NV | |
| Cardiovascular Disease Physician | 207RC0000X | 5162 | NV | |
| Cardiovascular Disease Physician | 207RC0000X | 275830I205 | UT | Yes |
Addresses
Primary practice location
PO Box 1535
Parowan, UT 84761-1535
Mailing address
PO Box 1535
Parowan, UT 84761-1535
Phone (702) 218-5374
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2002517 | Medicaid | NV |
Other providers in Parowan, UT
- Little S Clinic LLC
- Maxwell Macgregor
- Justin S Marsh
- Parowan Drug & Gift Inc
- Brad Lee Robison
- Tcdme
- John Elgin Utley
- Victor Ryan Worth
All providers in Parowan, UT · Cardiovascular Disease Physician in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.