NPIMap

Individual provider Active NPI

Tracey Roth, M.D.

  • Cardiovascular Disease Physician
  • Naples, FL
National Provider Identifier
1710970561
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
17157 Issued in SD
Practice address
399 9TH St N
#300
Naples, FL 34102-5820
Phone
(239) 624-4200
Fax
(239) 624-4201
NPI assigned
Aug 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X ME58465 FL
Cardiovascular Disease Physician 207RC0000X 17157 SD Primary

Addresses

Primary practice location

399 9TH St N
#300
Naples, FL 34102-5820

Mailing address

399 9TH St N Ste 300
Naples, FL 34102-5820
Phone (239) 624-4200

Other identifiers 3

IdentifierTypeStateIssuer
056497400MedicaidFL
14867AOtherFLBCBS
14867WOtherMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, SD2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100519000320 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Cardiac ElectrophysiologyPractitioner - Interventional Cardiology 1355364746 Reassigns benefits to 2 organizations
I20250822003661 SD Practitioner - Interventional Cardiology 1355364746 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford Health NetworkGroup PAC ID 6800707100, 357 clinicians
Key West Hma Physician Management LLCGroup PAC ID 0749178408, 33 clinicians
Naples Cardiac and Endovascular Center PAGroup PAC ID 4981731239, 3 clinicians

Practice addresses (Care Compare)

1015 3Rd Ave SE
Aberdeen, SD 57401-5418
Phone (605) 725-1700

1111 12TH St
Key West, FL 33040-4084

1168 Goodlette-Frank Rd N
Naples, FL 34102-5451
Phone 2393000586105

20 S Plum St
Vermillion, SD 57069-3346
Phone (605) 624-9111

2905 3Rd Ave SE
Aberdeen, SD 57401-5420
Phone (605) 626-4200

3015 3Rd Ave SE
Aberdeen, SD 57401-5418
Phone (605) 725-1700

5900 College Rd
Key West, FL 33040-4342
Phone (305) 294-5531

701 3Rd Ave S
Clear Lake, SD 57226-2016
Phone (605) 874-2141

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.78 of 100Reported as individual
Quality
78.88
Promoting interoperability
98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17157SDMDCardiovascular Disease Physician
ME58465FLMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Health Network CurrentSince Jul 28, 2025 Accepting new patients
Key West Hma Physician Management, LLC Cardiovascular Disease CurrentSince Jan 20, 2026 Accepting new patients
Sanford Health Network Current Accepting new patients
Naples Cardiac & Endovascular Center PA Interventional Cardiology CurrentSince Jan 15, 2022 Accepting new patients
Key West Hma Physician Management LLC CurrentSince Jan 20, 2026 Accepting new patients
Sanford Health Network CurrentSince Jul 28, 2025 Accepting new patients
Integrated Care LLC Cardiovascular Disease Past Accepting new patients

Locations

1111 12th St
Ste 104
Key West, FL 33040
Phone (305) 293-1830

1172 Goodlette Rd
Naples, FL 34102
Phone (239) 300-0586

1168 Goodlette Rd
Naples, FL 34102
Phone (239) 261-4111

701 3rd Ave S
Clear Lake, SD 57226
Phone (605) 874-2141

20 S Plum St
Vermillion, SD 57069
Phone (605) 624-2611

Interoperability endpoints

  • Direct secure messaging: tracey.roth.1@7724.direct.athenahealth.com

Organizations & group practices 8

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 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": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1710970561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 9TH ST N STE 300",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025820",
            "telephone_number": "239-624-4200",
            "fax_number": "239-624-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 9TH ST N",
            "address_2": "#300",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025820",
            "telephone_number": "239-624-4200",
            "fax_number": "239-624-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "TRACEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-26",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME58465",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "SD",
            "license": "17157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "056497400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "14867A",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "14867W",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.