Individual provider Active NPI

Andrew A Roth, M.D.

  • Obstetrics & Gynecology Physician
  • Lombard, IL
National Provider Identifier
1790787521
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
36079283 Issued in IL
Practice address
500 E 22ND St Ste a
Lombard, IL 60148-6102
Phone
(630) 932-2055
Fax
(630) 932-2059
NPI assigned
Aug 11, 2005
Last updated
Nov 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 0449143 KS
Obstetrics & Gynecology Physician 207V00000X 36079283 IL Primary
Obstetrics & Gynecology Physician 207V00000X 0101273504 VA
Obstetrics & Gynecology Physician 207V00000X 13111717-1205 UT
Obstetrics & Gynecology Physician 207V00000X C1158 KY

Addresses

Primary practice location

500 E 22ND St Ste a
Lombard, IL 60148-6102

Mailing address

500 E 22ND St Ste a
Lombard, IL 60148-6102
Phone (630) 932-2055

Other practice location 1

1303 N Main St Ste 3C
Cedar City, UT 84721-9746
Phone (435) 868-5500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, KY, MN, GA, VA, CO6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20101011000219 IL Practitioner - Obstetrics/Gynecology 2163614017 Reassigns benefits to 1 organization
I20230331001801 KY Practitioner - Obstetrics/Gynecology 2163614017 Reassigns benefits to 2 organizations
I20230727003105 MN Practitioner - Obstetrics/Gynecology 2163614017 Reassigns benefits to 1 organization
I20240620003538 GA Practitioner - Obstetrics/Gynecology 2163614017 Reassigns benefits to 1 organization
I20250115000568 VA Practitioner - Obstetrics/Gynecology 2163614017
I20260126001822 CO Practitioner - Obstetrics/Gynecology 2163614017 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Loyola University of Chicago, Stritch School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Andrew a Roth MD SCGroup PAC ID 1456543305, 4 clinicians

Practice addresses (Care Compare)

500 E 22ND St
Suite a
Lombard, IL 60148-6102
Phone (630) 932-2055

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36079283ILMDObstetrics & Gynecology Physician
0449143KSMDObstetrics & Gynecology Physician
13111717-1205UTMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hays Medical Center, Inc CurrentSince Oct 2, 2024 Accepting new patients
Pipestone County Medical Center CurrentSince Jul 6, 2024 Accepting new patients
Appalachian Regional Healthcare, Inc. Specialist CurrentSince Jan 18, 2023 Accepting new patients
Owensboro Health Medical Group, Inc Obstetrics & Gynecology CurrentSince Apr 7, 2025 Accepting new patients
Lutheran Hospital Association of the San Luis Valley CurrentSince Dec 20, 2025 Accepting new patients
Owensboro Health Medical Group Inc Current Accepting new patients
Owensboro Health Medical Group Inc CurrentSince Apr 7, 2025 Accepting new patients
Pipestone County Medical Center Current Accepting new patients
Andrew a. Roth, M.D.,S.C. Specialist CurrentSince Sep 24, 2010 Accepting new patients
Appalachian Regional Healthcare, Inc CurrentSince Jan 18, 2023 Accepting new patients
St. Joseph's/Candler OB/GYN Practice, LLC Obstetrics & Gynecology CurrentSince May 1, 2024 Accepting new patients
Hays Medical Center, Inc. Current Accepting new patients
Appalachian Regional Healthcare, Inc Current Accepting new patients
Pipestone County Medical Center CurrentSince Jul 6, 2024 Accepting new patients
Hays Medical Center, Inc. Obstetrics & Gynecology CurrentSince Oct 2, 2024 Accepting new patients
Mercy Clinic Pittsburg LLC Obstetrics & Gynecology CurrentSince Feb 14, 2025 Accepting new patients
Lutheran Hospital Association of the San Luis Valley CurrentSince Dec 20, 2025 Accepting new patients
Karen L Fehr Dalessandromdpc Specialist Past Accepting new patients
Ascension Via Christi Hospital Pittsburg, Inc. Obstetrics & Gynecology PastSince May 20, 2013 Accepting new patients

Locations

106 Blanca Ave
Alamosa, CO 81101
Phone (719) 589-2511

310 County Road 14
Del Norte, CO 81132
Phone (719) 657-2510

5354 Reynolds St
Ste 222
Savannah, GA 31405
Phone (912) 692-1080

5354 Reynolds St
Ste 422
Savannah, GA 31405
Phone (912) 354-2634

246 E Janata Blvd
Ste 130
Lombard, IL 60148
Phone (331) 300-1440

500 E 22nd St
Ste A
Lombard, IL 60148
Phone (630) 620-8061

2214 Canterbury Dr
Ste 210
Hays, KS 67601
Phone (785) 621-4990

2220 Canterbury Dr
Hays, KS 67601
Phone (785) 623-5000

1300 E Centennial Dr
Pittsburg, KS 66762
Phone (620) 230-0044

2711 S Rouse St
Ste B
Pittsburg, KS 66762
Phone (620) 230-0044

910 Wallace Ave
Ste 302
Leitchfield, KY 42754
Phone (270) 259-2700

2004 Cumberland Ave
Middlesboro, KY 40965
Phone (606) 248-0072

2004 Cumberland Ave
Ste 100
Middlesboro, KY 40965
Phone (606) 248-3015

2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351

916 4th Ave SW
Pipestone, MN 56164
Phone (507) 825-5811

Interoperability endpoints

  • Direct secure messaging: andrewroth@rzmd.allscriptsdirect.net
  • Direct secure messaging: aroth175272@ummc.direct-ci.com
  • Direct secure messaging: hla5140@yourcarecommunity.org

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 1

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": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1790787521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E 22ND ST STE A",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601486102",
            "telephone_number": "630-932-2055",
            "fax_number": "630-932-2059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E 22ND ST STE A",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601486102",
            "telephone_number": "630-932-2055",
            "fax_number": "630-932-2059"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1303 N Main St Ste 3C",
            "address_purpose": "LOCATION",
            "city": "Cedar City",
            "state": "UT",
            "postal_code": "847219746",
            "country_code": "US",
            "telephone_number": "435-868-5500",
            "fax_number": "435-868-5504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROTH",
        "first_name": "ANDREW",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KS",
            "license": "0449143",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "36079283",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101273504",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "UT",
            "license": "13111717-1205",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KY",
            "license": "C1158",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

Verify at the official NPI Registry.