Individual provider Active NPI

Jason David Roth, PA

  • Physician Assistant
  • Indianapolis, IN
National Provider Identifier
1508816992
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10000474A Issued in IN
Practice address
8450 Northwest Blvd
Indianapolis, IN 46278-1381
Phone
(317) 802-2000
Fax
(317) 802-2170
NPI assigned
May 10, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 2

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

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedics-Indianapolis Inc 357 clinicians
Cutting Edge Physical Therapy Limited Partnership 109 clinicians

Practice addresses (Care Compare)

1260 Innovation Pkwy
Suite 100
Greenwood, IN 46143-3602
Phone (317) 884-5200

13430 N Meridian St
Suite 367
Carmel, IN 46032-1484
Phone (317) 884-5200

2390 National Rd W
Richmond, IN 47374-4625

2548 Cumberland Ave
West Lafayette, IN 47906-4083
Phone (765) 447-4165

288 E 175TH St
Suite 100
Westfield, IN 46074-8934
Phone (317) 275-6140

8450 Northwest Blvd
Indianapolis, IN 46278-1381
Phone (317) 802-2000

Hospital & facility affiliations

  • Orthoindy Hospital Hospital, Indianapolis, IN, CCN 150160
  • Ascension St Vincent Carmel Hospital, Carmel, IN, CCN 150157

Merit-based Incentive Payment System (MIPS)

Final score
74.84 of 100Reported as group
Quality
52.64
Promoting interoperability
88
Improvement activities
40
Cost
73.49

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041123000333 IN Practitioner - Physician Assistant 5698730273 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10000474AINMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedics-Indianapolis, Inc CurrentSince Nov 30, 2004 Accepting new patients
Orthopaedics-Indianapolis, Inc CurrentSince Nov 30, 2004 Accepting new patients
Orthopaedics-Indianapolis, Inc Past Accepting new patients
Major Hospital Past Accepting new patients
Orthopaedics-Indianapolis, Inc Physician Assistant Past Accepting new patients

Locations

8450 Northwest Blvd
Indianapolis, IN 46278

1411 S Creasy Ln
Ste 120
Lafayette, IN 47905
Phone (765) 447-4165

2548 Cumberland Ave
Ste 100
West Lafayette, IN 47906
Phone (765) 447-4165

288 E 175th St
Ste 100
Westfield, IN 46074
Phone (317) 275-6140

17471 Wheeler Rd
Ste 112
Westfield, IN 46074
Phone (317) 275-6140

Interoperability endpoints

  • Direct secure messaging: jasonroth@oi.allscriptsdirect.net
  • Direct secure messaging: jason.roth.1@29985.direct.athenahealth.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10000474A IN Primary

Addresses

NPPES NPI Registry

Primary practice location

8450 Northwest Blvd
Indianapolis, IN 46278-1381

Mailing address

8450 Northwest Blvd
Indianapolis, IN 46278-1381
Phone (317) 802-2000

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address jason.roth.1@29985.direct.athenahealth.com Orthopaedics-Indianapolis, Inc

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 16, 2024.

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1508816992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8450 NORTHWEST BLVD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462781381",
            "telephone_number": "317-802-2000",
            "fax_number": "317-802-2170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8450 NORTHWEST BLVD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462781381",
            "telephone_number": "317-802-2000",
            "fax_number": "317-802-2170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "JASON",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10000474A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jason.roth.1@29985.direct.athenahealth.com",
            "affiliation": "Y",
            "endpointDescription": "Athena address",
            "affiliationName": "Orthopaedics-Indianapolis, Inc",
            "address_1": "8450 Northwest Blvd",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462781381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.