Melinda-Ann B. Roth, MD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

D0037535 Issued in MD

Practice address

540 Jermor LN Ste a
Westminster, MD 21157-6490

Phone

(410) 871-3025

NPI assigned

Jul 11, 2006

Last updated

Aug 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Foundational Health Restoration, LLC

  • Medical Specialty Clinic/Center
  • Westminster, MD
  • NPI 1841879145
  Authorized official Same address or phone
• Sage Physical Therapy & Wellness LLC

  dba Advanced Physical Therapy

  • Physical Therapy Clinic/Center
  • Cambridge, MD
  • NPI 1467757575
  NPD

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1811922867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 COCKEYS MILL RD",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211365116",
            "telephone_number": "410-833-8205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 JERMOR LN STE A",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211576490",
            "telephone_number": "410-871-3025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "MELINDA-ANN",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MD",
            "license": "D0037535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253003100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jed Stuart Rosen, M.D.
• Shannon Rosenbauer, LCSW-C
• Jennifer L Rosinski, A.T.C.
• Katrina Wolfe Ross, CRNP
• Renee Ross
• Gail Rovan, PT
• Laura A. Ruby, CRNP
• Sandra K Ruby, MD
• Arthur Louis Rudo, MD
• Elizabeth Mary Ruff, M.D.

• Physical Medicine & Rehabilitation Physician in Westminster, MD
• Providers in Westminster, MD by specialty
• Physical Medicine & Rehabilitation Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.