NPIMap

Individual provider Active NPI

Norman Roth, M.S., M.D.

  • Cardiovascular Disease Physician
  • Wallingford, CT
National Provider Identifier
1568828259
Registry record updated Jan 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
63322 Issued in CT
Practice address
1062 Barnes Rd Ste 300
Wallingford, CT 06492-2576
Phone
(605) 251-5328
NPI assigned
Jan 11, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 63322 CT Primary

Addresses

Primary practice location

1062 Barnes Rd Ste 300
Wallingford, CT 06492-2576

Mailing address

1062 Barnes Rd
Ste 300
Wallingford, CT 06492-2576
Phone (203) 265-9831

Other practice location 1

433 S Main St
West Hartford, CT 06110-1670
Phone (860) 522-0604

Other practice location 2

305 Western Blvd Ste 100
Glastonbury, CT 06033-4380
Phone (860) 522-0604

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20190729002539 CT Practitioner - Cardiovascular Disease (Cardiology) 8921348699 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
New York Medical College, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Consulting Cardiologists PCGroup PAC ID 7113916149, 23 clinicians
Midstate Medical CenterGroup PAC ID 7416840699, 187 clinicians
Hartford HospitalGroup PAC ID 2567366016, 1,040 clinicians

Practice addresses (Care Compare)

305 Western Blvd
Suite 100
Glastonbury, CT 06033-4380
Phone (860) 522-0604

435 Lewis Ave
Meriden, CT 06451-2101
Phone (203) 694-8200

80 Seymour St
Hartford, CT 06102-8000
Phone (860) 545-7500

Hospital & facility affiliations

  • Midstate Medical Center Hospital, Meriden, CT, CCN 070017
  • Hartford Hospital Hospital, Hartford, CT, CCN 070025
  • Manchester Memorial Hospital Hospital, Manchester, CT, CCN 070027
  • Yale-New Haven Hospital Hospital, New Haven, CT, CCN 070022
  • The Hospital of Central Connecticut Hospital, New Britain, CT, CCN 070035

Merit-based Incentive Payment System (MIPS)

Final score
94.92 of 100Reported as individual
Quality
79.74
Promoting interoperability
100
Improvement activities
40
Cost
81.23

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Heart Physicians, Inc. Cardiovascular Disease CurrentSince Aug 1, 2019 Accepting new patients
Hartford Hospital CurrentSince May 1, 2025 Accepting new patients
Midstate Medical Center CurrentSince May 1, 2025 Accepting new patients
Hartford Hospital CurrentSince May 1, 2025 Accepting new patients
Consulting Cardiologists, P.C. Cardiovascular Disease CurrentSince Jul 1, 2019 Accepting new patients
Midstate Medical Center Current Accepting new patients
Midstate Medical Center CurrentSince May 1, 2025 Accepting new patients

Locations

305 Western Blvd
Ste 100
Glastonbury, CT 06033
Phone (860) 525-1532

305 Western Blvd
#100
Glastonbury, CT 06033
Phone (860) 247-0604

85 Seymour St
Ste 719
Hartford, CT 06106
Phone (860) 249-9175

80 Seymour St
Hartford, CT 06106
Phone (860) 545-2249

256 N Main St
Manchester, CT 06042
Phone (860) 646-8595

435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340

1062 Barnes Rd
Ste 300
Wallingford, CT 06492
Phone (203) 265-9831

433 S Main St
West Hartford, CT 06110
Phone (860) 207-9449

Interoperability endpoints

  • Direct secure messaging: norman.roth.1@6291.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/6291/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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 9

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": "1452470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579132800000",
    "number": "1568828259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1062 BARNES RD",
            "address_2": "STE 300",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922576",
            "telephone_number": "203-265-9831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1062 BARNES RD STE 300",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922576",
            "telephone_number": "605-251-5328"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "433 S Main St",
            "address_purpose": "LOCATION",
            "city": "West Hartford",
            "state": "CT",
            "postal_code": "061101670",
            "country_code": "US",
            "telephone_number": "860-522-0604",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "305 Western Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Glastonbury",
            "state": "CT",
            "postal_code": "060334380",
            "country_code": "US",
            "telephone_number": "860-522-0604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROTH",
        "first_name": "NORMAN",
        "credential": "M.S., M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-11",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CT",
            "license": "63322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wallingford, CT

Sources for this page

Verify at the official NPI Registry.