Patrick Jeremy Roth, M.D.
Individual provider Active NPI Diagnostic Radiology Physician · Sayre, PA
NPI 1730574591 · NPPES record last updated Sep 4, 2024
Key facts
- NPI
- 1730574591
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- MD61158049 (WA)
- Practice address
- 1 Guthrie SQ
Sayre, PA 18840-1625 - Phone
- (570) 887-4401
- NPI assigned
- Mar 30, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- Florida Atlantic University, College of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Guthrie Medical Group PC
Practice addresses (Care Compare)
10318 SE Evergreen Hwy
Vancouver, WA 98664-5360
Phone (570) 887-5599
11210 N Mayfair St
Spokane, WA 99218-1600
Phone (570) 888-5858
Hospital & facility affiliations
- Robert Packer Hospital
- Corning Hospital
- Guthrie Cortland Regional Medical Center
- Troy Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.13 of 100
- Quality
- 77.56
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.02
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WA, VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210702000993 | WA | Practitioner - Diagnostic Radiology | 7416358064 | Reassigns benefits to 4 organizations |
| I20220106002954 | VA | Practitioner - Diagnostic Radiology | 7416358064 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME151547 | FL | MD | Diagnostic Radiology Physician |
| TRN23059 | FL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foundation Radiology Group PC | Diagnostic Radiology | Current |
Accepting new patients |
| University of Miami | Current |
Accepting new patients | |
| University of Virginia Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Bath County Community Hospital | Current |
Accepting new patients | |
| University Hospitals Medical Group Inc | Diagnostic Radiology | Current |
Accepting new patients |
| Guthrie Medical Group, P.C. | Current |
Accepting new patients | |
| University of Virginia Physicians Group | Current |
Accepting new patients | |
| University of Virginia Imaging, LLC | Diagnostic Radiology | Current |
Accepting new patients |
| University of Virginia Imaging, LLC | Diagnostic Radiology | Current |
Accepting new patients |
| TRG, LLC | Diagnostic Radiology | Past | Accepting new patients |
Locations
4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000
1611 NW 12th Ave
Ste 279
Miami, FL 33136
Phone (305) 585-8178
1400 NW 12th Ave
Miami, FL 33136
Phone (305) 325-5416
1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226
401 Liberty Ave
Ste 2000
Pittsburgh, PA 15222
Phone (412) 325-2800
1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106
415 Ray C Hunt Dr
#1100
Charlottesville, VA 22903
Phone (434) 243-8189
2965 Ivy Rd
#101
Charlottesville, VA 22903
Phone (434) 243-9198
545 Ray C Hunt Dr
Ste 140
Charlottesvle, VA 22903
Phone (434) 243-9198
1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500
78 Medical Center Dr
Fishersville, VA 22939
Phone (540) 245-7216
15195 Heathcote Blvd
Ste 350
Haymarket, VA 20169
Phone (571) 284-3180
210 SE 136th Ave
Vancouver, WA 98684
Phone (360) 944-9889
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | TRN23059 | FL | |
| Diagnostic Radiology Physician | 2085R0202X | ME151547 | FL | |
| Diagnostic Radiology Physician | 2085R0202X | MD61158049 | WA | Yes |
Addresses
Primary practice location
1 Guthrie SQ
Sayre, PA 18840-1625
Mailing address
1 Guthrie SQ
Sayre, PA 18840-1625
Phone (570) 887-4401
Other providers in Sayre, PA
- Alec Romanowski
- Mary Ann Romanyshyn
- David Romig
- Joseph Anthony Ronsivalle
- Diane Rossi
- Steven Bryan Rouse
- Patrick Harrison Rowe
- Marilou G Ruble
- Wojciech Rudzinski
- Debra Ann Ryan
All providers in Sayre, PA · Diagnostic Radiology Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.