Active NPI
Andrew A Roth, M.D.
- Obstetrics & Gynecology Physician
- Lombard, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 36079283
- 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, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 6
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
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
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36079283 | IL | MD | Obstetrics & Gynecology Physician |
| 0449143 | KS | MD | Obstetrics & Gynecology Physician |
| 13111717-1205 | UT | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hays Medical Center, Inc | Current | Accepting new patients | |
| Pipestone County Medical Center | Current | Accepting new patients | |
| Appalachian Regional Healthcare, Inc. | Specialist | Current | Accepting new patients |
| Owensboro Health Medical Group, Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Lutheran Hospital Association of the San Luis Valley | Current | Accepting new patients | |
| Owensboro Health Medical Group Inc | Current | Accepting new patients | |
| Owensboro Health Medical Group Inc | Current | Accepting new patients | |
| Pipestone County Medical Center | Current | Accepting new patients | |
| Andrew a. Roth, M.D.,S.C. | Specialist | Current | Accepting new patients |
| Appalachian Regional Healthcare, Inc | Current | Accepting new patients | |
| St. Joseph's/Candler OB/GYN Practice, LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Hays Medical Center, Inc. | Current | Accepting new patients | |
| Appalachian Regional Healthcare, Inc | Current | Accepting new patients | |
| Pipestone County Medical Center | Current | Accepting new patients | |
| Hays Medical Center, Inc. | Obstetrics & Gynecology | Current | Accepting new patients |
| Mercy Clinic Pittsburg LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Lutheran Hospital Association of the San Luis Valley | Current | Accepting new patients | |
| Karen L Fehr Dalessandromdpc | Specialist | Past | Accepting new patients |
| Ascension Via Christi Hospital Pittsburg, Inc. | Obstetrics & Gynecology | Past | 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
- andrewroth@rzmd.allscriptsdirect.net
- aroth175272@ummc.direct-ci.com
- 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.
-
dba Yorktown Health
- Obstetrics & Gynecology Physician
- Lombard, IL
- NPI 1568464394
Specialist
-
dba San Luis Valley Health Regional Medical Center
- General Acute Care Hospital
- Alamosa, CO
- NPI 1235181744
-
dba Owensboro Health Muhlenberg Community Hospital Wound Center
- Surgery Physician
- Greenville, KY
- NPI 1235518242
-
- Critical Access Hospital
- Pipestone, MN
- NPI 1447300587
-
- Obstetrics & Gynecology Physician
- Savannah, GA
- NPI 1730690561
-
- Clinical Pathology/Laboratory Medicine Physician
- Whitesburg, KY
- NPI 1417045998
-
dba ARH Tri-Cities Clinic Pharmacy
- Community/Retail Pharmacy
- Cumberland, KY
- NPI 1710870811
-
dba Hazard ARH Regional Medical Center
- Anatomic Pathology & Clinical Pathology Physician
- Hazard, KY
- NPI 1780728881
-
dba Middlesboro Physicians Group
- Emergency Medicine Physician
- Middlesboro, KY
- NPI 1134204688
Specialist
-
dba HaysMed Pathology
- Anatomic Pathology & Clinical Pathology Physician
- Hays, KS
- NPI 1073306221
-
dba Hays Medical Group - DeBakey Heart Institute
- Interventional Cardiology Physician
- Hays, KS
- NPI 1770618258
-
dba Hays Medical Group
- Internal Medicine Physician
- Hays, KS
- NPI 1871567479
Obstetrics & Gynecology
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Advocate Good Samaritan Hospital
- General Acute Care Hospital
- Downers Grove, IL
- NPI 1578670543
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; 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.