Active NPI
Eden Roth, DO
- Physical Medicine & Rehabilitation Physician
- Rochester, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 5101028616
- Practice address
- 1135 W University Dr Ste 175
Rochester, MI 48307-1893 - Phone
- (248) 660-5882
- NPI assigned
- May 10, 2021
- Last updated
- Sep 23, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 5101028616 | MI | Primary |
Addresses
Primary practice location
1135 W University Dr Ste 175
Rochester, MI 48307-1893
Mailing address
1135 W University Dr Ste 175
Rochester, MI 48307-1893
Phone (248) 650-5861
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Michigan State University College of Osteopathic Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
43344 Woodward Ave
Bloomfield Hills, MI 48302-5014
Phone (248) 335-9099
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101028616 | MI | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Specialists in Rehabilitation Medicine PC | Physical Medicine & Rehabilitation | Current | Accepting new patients |
Locations
43344 Woodward Ave
Bloomfld Hls, MI 48302
Phone (248) 335-9099
9640 Commerce Rd
Ste 202
Commerce Twp, MI 48382
Phone (248) 360-8660
1135 W University Dr
Ste 175
Rochester Hls, MI 48307
Phone (248) 650-4738
1135 W University Dr
Ste 425
Rochester Hls, MI 48307
Phone (248) 650-5861
Interoperability endpoints
- edenroth@sirmp-mi.direct.office.nextgen.com
Organizations & group practices 1
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.
-
- Physical Medicine & Rehabilitation Physician
- Rochester, MI
- NPI 1336114537
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Coldwater, MI
- NPI 1063471639
-
- General Acute Care Hospital
- Rochester, MI
- NPI 1437176203
-
- Rehabilitation Hospital Unit
- Rochester, MI
- NPI 1750435962
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Pontiac, MI
- NPI 1376564088
-
- General Acute Care Hospital
- Port Huron, MI
- NPI 1306227764
-
- Rehabilitation Hospital Unit
- Port Huron, MI
- NPI 1356723027
Inpatient rehabilitation facility
-
dba Huron Valley-Sinai Hospital
- General Acute Care Hospital
- Commerce Township, MI
- NPI 1922310200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790121600000",
"number": "1649854282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1135 W UNIVERSITY DR STE 175",
"city": "ROCHESTER",
"state": "MI",
"postal_code": "483071893",
"telephone_number": "248-650-5861",
"fax_number": "248-650-5865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1135 W UNIVERSITY DR STE 175",
"city": "ROCHESTER",
"state": "MI",
"postal_code": "483071893",
"telephone_number": "248-660-5882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTH",
"first_name": "EDEN",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-10",
"last_updated": "2026-09-23",
"certification_date": "2026-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "MI",
"license": "5101028616",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.