Brian Michael Roth, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

4301055982 Issued in MI

Practice address

1135 W University Dr
Suite 425
Rochester, MI 48307-1871

Phone

(248) 650-5861

Fax

(248) 650-5865

NPI assigned

Feb 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physical Medicine and Rehabilitation

Education

Wayne State University School of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Specialists in Rehabilitation Medicine PCGroup PAC ID 1759450323, 31 clinicians

Powerback Rehabilitation LLCGroup PAC ID 2365359932, shared by 106 NPIs, 600 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Insight Hospital and Medical Center Coldwater Hospital, Coldwater, MI, CCN 230022
• Ascension Providence Rochester Hospital Hospital, Rochester, MI, CCN 230254
• Trinity Health Oakland Hospital Hospital, Pontiac, MI, CCN 230029
• Bellbrook Nursing home, Rochester Hills, MI, CCN 235470

Merit-based Incentive Payment System (MIPS)

Final score

75.31 of 100Reported as group

Quality

73.34

Promoting interoperability

64

Improvement activities

40

Cost

52.64

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: broth@sirmp-mi.direct.office.nextgen.com
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
• Direct secure messaging: broth@direct.dmc.org
• Direct secure messaging: broth57360@direct.hfhs.org

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.

• Specialists in Rehabilitation Medicine PC

  • Physical Medicine & Rehabilitation Physician
  • Rochester, MI
  • NPI 1336114537
  Medicare reassignment Care Compare group NPD Authorized official
• Specialists in Rehabilitation Medicine PC

  • Physical Medicine & Rehabilitation Physician
  • Bloomfield Hills, MI
  • NPI 1245727981
  NPD (past) Authorized official

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

• Community Health Center of Branch County

  • General Acute Care Hospital
  • Coldwater, MI
  • NPI 1063471639
  Care Compare affiliation
• Henry Ford Health Rochester Hospital

  • General Acute Care Hospital
  • Rochester, MI
  • NPI 1437176203
  Care Compare affiliation
• Mercy Services for Aging Nonprofit Housing Corporation

  • Skilled Nursing Facility
  • Rochester Hills, MI
  • NPI 1528152600

  Nursing home

  Care Compare affiliation
• St Joseph Mercy Hospital-SMHC

  • General Acute Care Hospital
  • Pontiac, MI
  • NPI 1053356352
  Care Compare affiliation

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351123200000",
    "number": "1659346567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 W UNIVERSITY DR",
            "address_2": "SUITE 425",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071871",
            "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",
            "address_2": "SUITE 425",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071871",
            "telephone_number": "248-650-5861",
            "fax_number": "248-650-5865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "BRIAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2012-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "4301055982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3183503",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• A. Ronald Rook, D.O.
• Roya Roosta, CRNA
• Erica Anne Ross
• Ana Maria Rotar, M.D.
• Megan Holly Rotar, TLLP
• Eden Roth, DO
• Theodore Louis Roumell, MD
• Miriam Roumieh
• Roy Chiropractic Centers PLLC
• Marie-Claude Roy, D.C.

• Physical Medicine & Rehabilitation Physician in Rochester, MI
• Providers in Rochester, MI by specialty
• Physical Medicine & Rehabilitation Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; 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.

Verify at the official NPI Registry.