Active NPI
Carl Roth
- Internal Medicine Physician
- Silver Creek, NY
National Provider Identifier
1942303029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 200012
- Practice address
- 113 Main St
Silver Creek, NY 14136-1452 - Phone
- (716) 934-4518
- NPI assigned
- Sep 6, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 200012 | NY | Primary |
Addresses
Primary practice location
113 Main St
Silver Creek, NY 14136-1452
Mailing address
113 Main St
Silver Creek, NY 14136-1452
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | carl.roth@upmcdirect.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Philadelphia College of Osteopathic Medicine, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
113 Main St
Silver Creek, NY 14136-1452
Phone (716) 954-3641
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200012 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Great Lakes Physician Practice PC | Internal Medicine | Current | Accepting new patients |
| Jamestown Area Medical Associates, L.L.P. | Internal Medicine | Current | Accepting new patients |
| Brooks - TLC Hospital System, Inc. | Past | Accepting new patients |
Locations
826 Lake St
Angola, NY 14006
Phone (716) 549-7777
529 Central Ave
Dunkirk, NY 14048
Phone (716) 338-9797
504 Central Ave
Dunkirk, NY 14048
Phone (716) 366-9008
12 Center St
Ste 1
Fredonia, NY 14063
Phone (716) 679-2233
31 Sherman St
Ste 2400
Jamestown, NY 14701
Phone (814) 483-5306
113 Main St
Silver Creek, NY 14136
Phone (716) 934-4518
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Jamestown, NY
- NPI 1730599176
-
- Internal Medicine Physician
- Jamestown, NY
- NPI 1528010766
-
- Urgent Care Clinic/Center
- Gowanda, NY
- NPI 1487738886
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Derby, NY
- NPI 1225654494
Hospital
-
- General Acute Care Hospital
- Dunkirk, NY
- NPI 1215917224
-
dba UPMC Chautauqua WCA
- Substance Use Disorder Rehabilitation Hospital Unit
- Jamestown, NY
- NPI 1568023687
-
dba UPMC Chautauqua WCA
- General Acute Care Hospital
- Jamestown, NY
- NPI 1770573222
-
- Home Health Agency
- Cheektowaga, NY
- NPI 1730268384
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706140800000",
"number": "1942303029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 MAIN ST",
"city": "SILVER CREEK",
"state": "NY",
"postal_code": "141361452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 MAIN ST",
"city": "SILVER CREEK",
"state": "NY",
"postal_code": "141361452",
"telephone_number": "716-934-4518"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTH",
"first_name": "CARL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-06",
"last_updated": "2024-01-25",
"certification_date": "2023-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "200012",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "carl.roth@upmcdirect.com",
"affiliation": "N",
"address_1": "600 Grant St",
"address_2": "Floor 58",
"city": "Pittsburgh",
"state": "PA",
"country_code": "US",
"postal_code": "152192702",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Silver Creek, NY
- Postle Counseling Services LCSW, PLLC
- Qpharma Inc (Silver Creek Internal Medicine)
- Daniel Wayne Ramsey, RN
- Brenda L. Reding, OT
- Rite Aid of New York Inc (Rite Aid Pharmacy 01862)
- Bradley James Rybak
- Jacquelyn Mary Sackett, SPEECH LANGUAGE PATH
- Zdenka Safar, MD
- Wayra Salazar Moreno
- Kimberly Seabolt, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.