Gerald M Roth, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

G76013 Issued in CA

Practice address

2202 Wilshire Blvd
Santa Monica, CA 90403-5706

Phone

(310) 264-9000

Fax

(310) 264-9004

NPI assigned

Jun 1, 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 2

Medicare fee-for-service enrollment

Enrolled in FL

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

Diagnostic Radiology

Education

Columbia University College of Physicians and Surgeons, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Diagnostic Centers of America, LLPGroup PAC ID 0547174120, 108 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score

78.06 of 100Reported as group

Quality

72.79

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Diagnostic Centers of America LLP

  dba RAYUS Radiology

  • Diagnostic Radiology Physician
  • Delray Beach, FL
  • NPI 1730125261
  Medicare reassignment Care Compare group NPD
• Mori Bean and Brooks Inc

  dba Coastal Vein Vascular Institute

  • Diagnostic Radiology Physician
  • Tampa, FL
  • NPI 1093782070
  Medicare reassignment NPD
• Saint John's Tower Imaging Medical Group, Inc.

  • Diagnostic Radiology Physician
  • Santa Monica, CA
  • NPI 1356396782
  NPD (past) Authorized official
• Tower Imaging Medical Centers, Inc.

  • Diagnostic Radiology Physician
  • Valencia, CA
  • NPI 1619216132
  NPD (past) Authorized official
• Boca Radiology Group PA

  • Diagnostic Radiology Physician
  • Boca Raton, FL
  • NPI 1033163423
  NPD (past)

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196380800000",
    "number": "1740227594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT LA 21559",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911851559",
            "telephone_number": "949-263-8620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 WILSHIRE BLVD",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035706",
            "telephone_number": "310-264-9000",
            "fax_number": "310-264-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "GERALD",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2007-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G76013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G670130",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA",
            "identifier": "00G760130",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheryl Ann Ross, M.D.
• Sophie Rosseel
• Anne Rossell
• Nicole Rostoker, OTR/L
• Kristin Rotblatt, L.AC
• Christina Rothans, LCSW
• Marjorie Ellen Rothman, AA, BA
• Yariv E Rothman, DC
• Deborah Christopher Rothschild, LCSW
• Jeffrey Rothschild, M.S., R.D.

• Diagnostic Radiology Physician in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; 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.