Tracy Young Roth, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

19526 Issued in AL

Practice address

1601 Center St
Ste 3S
Mobile, AL 36604-1512

Phone

(251) 415-1496

Fax

(251) 415-1450

NPI assigned

Oct 11, 2012

Last updated

Feb 20, 2017By 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 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AL

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

Obstetrics/Gynecology

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bayou la Batre Area Health Development Board, Inc.Group PAC ID 3577472810, 15 clinicians

Franklin Primary Health Center, Inc.Group PAC ID 1658356308, 50 clinicians

USA Health Physician Billing Services LLCGroup PAC ID 9931436912, 342 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• USA Health Children's & Women's Hospital Hospital, Mobile, AL, CCN 013301

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CIEDDD
• Direct secure messaging: troth573403@direct.ochin.org

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.

• Bayou la Batre Area Health Development Board, Inc.

  dba Mostellar Medical Center

  • Federally Qualified Health Center (FQHC)
  • Irvington, AL
  • NPI 1396794426
  Medicare reassignment Care Compare group NPD
• Franklin Primary Health Center Inc.

  • Federally Qualified Health Center (FQHC)
  • Mobile, AL
  • NPI 1679532303

  Obstetrics & Gynecology

  Medicare reassignment Care Compare group NPD
• USA Health Physician Billing Services LLC

  • Internal Medicine Physician
  • Mobile, AL
  • NPI 1720645468

  Obstetrics & Gynecology

  Medicare reassignment Care Compare group NPD
• University of South Alabama

  dba USA Student Health Center

  • Family Medicine Physician
  • Mobile, AL
  • NPI 1992746838
  Medicare reassignment NPD
• Bayou la Batre Area Health Development Board, Inc.

  dba Southwest Alabama Health Services

  • Clinic/Center
  • McIntosh, AL
  • NPI 1023068459
  NPD
• Franklin Primary Health Center, Inc

  dba Franklin Evergreen Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Evergreen, AL
  • NPI 1346733821

  Obstetrics & Gynecology

  NPD
• Franklin Primary Health Center, Inc.

  dba H E Savage Memorial Ctr

  • Federally Qualified Health Center (FQHC)
  • Mobile, AL
  • NPI 1104895952
  NPD
• University of South Alabama

  • Clinical Medical Laboratory
  • Mobile, AL
  • NPI 1497859052
  NPD
• University of South Alabama

  dba USA Health

  • Internal Medicine Physician
  • Mobile, AL
  • NPI 1700241015

  Obstetrics & Gynecology

  NPD
• USA Health Physician Billing Services LLC

  dba USA Radiology

  • Diagnostic Radiology Physician
  • Mobile, AL
  • NPI 1609434067
  NPD
• University of South Alabama

  dba USA Health Children's & Women's Hospital

  • Children's Hospital
  • Mobile, AL
  • NPI 1023055191
  NPD (past)
• University of South Alabama

  dba USA OBGYN

  • Obstetrics & Gynecology Physician
  • Mobile, AL
  • NPI 1265891857
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• University of South Alabama

  dba USA Health Children's & Women's Hospital

  • Children's Hospital
  • Mobile, AL
  • NPI 1023055191
  Care Compare affiliation

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

{
    "created_epoch": "1349913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487548800000",
    "number": "1891047056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40480",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366400480",
            "telephone_number": "251-415-1496",
            "fax_number": "251-415-1450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 CENTER ST",
            "address_2": "STE 3S",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366041512",
            "telephone_number": "251-415-1496",
            "fax_number": "251-415-1450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "TRACY",
        "middle_name": "YOUNG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-11",
        "last_updated": "2017-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AL",
            "license": "19526",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MS",
            "license": "14783",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009912195",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0116740",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristen Rosser, CRNP
• Frederick Joseph Rossi III
• Rachael Bridges Rostas, NP
• Emily Roth, WHNP
• Steven Michael Roth, MD
• Lauren Elana Rotman
• Olivia Rouse
• John David Roveda Jr., MD
• Kelly Powers Roveda, MD
• Victoria Rowan, M.S.OTR/L

• Obstetrics & Gynecology Physician in Mobile, AL
• Providers in Mobile, AL by specialty
• Obstetrics & Gynecology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.