NPIMap

Organization Active NPI

Andrew a. Roth, M.D.,S.C.

Doing business as Yorktown Health

  • Obstetrics & Gynecology Physician
  • Lombard, IL
National Provider Identifier
1568464394
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
ANDREW A. ROTH, M.D.,S.C.
Doing business as
Yorktown Health
Practice address
500 E 22ND St Ste a
Lombard, IL 60148-6102
Phone
(630) 932-2055
Fax
(630) 932-2059
NPI assigned
Aug 11, 2005
Last updated
Nov 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Authorized official

Name
Veronica Galica
Title
Billing Coordinator
Phone
(630) 932-2055

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU
Obstetrics & Gynecology Physician 207V00000X NU Primary

Addresses

Primary practice location

500 E 22ND St Ste a
Lombard, IL 60148-6102

Mailing address

500 E 22ND St Ste a
Lombard, IL 60148-6102
Phone (630) 932-2055

Other names 1

  • Yorktown Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101011000176 IL Part B Supplier - Clinic/Group Practice 1456543305 Receives reassigned benefits from 7 practitioners
Practice locations: Lombard, IL

National Provider Directory

National Provider Directory

Locations

2009 Warrenville Rd
Ste C
Lisle, IL 60532
Phone (630) 515-0001

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1568464394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E 22ND ST STE A",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601486102",
            "telephone_number": "630-932-2055",
            "fax_number": "630-932-2059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E 22ND ST STE A",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601486102",
            "telephone_number": "630-932-2055",
            "fax_number": "630-932-2059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW A. ROTH, M.D.,S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-11",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A",
        "authorized_official_last_name": "GALICA",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "BILLING COORDINATOR",
        "authorized_official_telephone_number": "630-932-2055"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yorktown Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lombard, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.