Individual provider Active NPI

Roger H Rooth, D.P.M.

  • Primary Podiatric Medicine Podiatrist
  • Pittsburgh, PA
National Provider Identifier
1841242732
Registry record updated Aug 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
SC001961-L Issued in PA
Practice address
100 Foster Ave
Pittsburgh, PA 15205-2317
Phone
(412) 937-1110
Fax
(412) 937-1108
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X SC001961-L PA Primary

Addresses

Primary practice location

100 Foster Ave
Pittsburgh, PA 15205-2317

Mailing address

100 Foster Ave
Pittsburgh, PA 15205-2317
Phone (412) 937-1110

Other identifiers 1

IdentifierTypeStateIssuer
0774307MedicaidPA

Medicare participation

Medicare enrollment files
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: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC001961-LPAMDPrimary Podiatric Medicine Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sto-Rox Neighborhood Health Council, Inc. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344470400000",
    "number": "1841242732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 FOSTER AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152052317",
            "telephone_number": "412-937-1110",
            "fax_number": "412-937-1108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 FOSTER AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152052317",
            "telephone_number": "412-937-1110",
            "fax_number": "412-937-1108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROOTH",
        "first_name": "ROGER",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2012-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "PA",
            "license": "SC001961-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0774307",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.