NPIMap

Individual provider Active NPI

Elisabeth S Roter, MD

  • Rheumatology Physician
  • Mentor, OH
National Provider Identifier
1548366370
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
35078189 Issued in OH
Practice address
9000 Mentor Ave Ste 105
Mentor, OH 44060-4497
Phone
(440) 947-4404
Fax
(440) 947-4419
NPI assigned
Sep 16, 2006
Last updated
Jan 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35078189 OH
Rheumatology Physician 207RR0500X 35078189 OH Primary

Addresses

Primary practice location

9000 Mentor Ave Ste 105
Mentor, OH 44060-4497

Mailing address

PO Box 8792
Belfast, ME 04915-8792
Phone (440) 974-4404

Other identifiers 1

IdentifierTypeStateIssuer
2182810MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address elisabethroter@uhps.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100415000004 OH Practitioner - RheumatologyPractitioner - Internal Medicine 8820125362 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

9000 Mentor Ave
Suite 105
Mentor, OH 44060-4497
Phone (216) 383-0100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.15 of 100Reported as apm
Quality
82.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35078189OHMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc Current Accepting new patients
University Primary Care Practices Inc Internal Medicine CurrentSince Feb 1, 2003 Accepting new patients
University Primary Care Practices Past Accepting new patients
University Hospitals Regional Practices LLC Internal Medicine Past Accepting new patients
University Hospitals Medical Group Inc PastSince Feb 1, 2003 Accepting new patients

Locations

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

9000 Mentor Ave
Ste 105
Mentor, OH 44060
Phone (440) 947-4404

27100 Chardon Rd
#150
Richmond Hts, OH 44143
Phone (440) 347-9929

Interoperability endpoints

  • Direct secure messaging: eroter37829@ehrdirect.uhhospitals.org

Organizations & group practices 5

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.

Hospital & facility affiliations 8

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": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1548366370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8792",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049158792",
            "telephone_number": "440-974-4404",
            "fax_number": "440-974-4419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 MENTOR AVE STE 105",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440604497",
            "telephone_number": "440-947-4404",
            "fax_number": "440-947-4419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTER",
        "first_name": "ELISABETH",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35078189",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "OH",
            "license": "35078189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2182810",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elisabethroter@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "9000 Mentor Ave Ste 105",
            "city": "Mentor",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440604497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mentor, OH

Sources for this page

Verify at the official NPI Registry.