Richard Stat Roth, MD

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

036446 Issued in GA

Practice address

100 Eddie Jungemann Drive, Suite B
Savannah, GA 31408

Phone

(912) 964-7684

Fax

(912) 354-9365

NPI assigned

Jul 15, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in GA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: richardroth@scmgllc.allscriptsdirect.net

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.

• Orthopaedic Foot & Ankle Center, P.C.

  • Orthopaedic Foot and Ankle Surgery Physician
  • Savannah, GA
  • NPI 1952396764
  NPD (past)

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1972502581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 EDDIE JUNGEMANN DRIVE, SUITE B",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "31408",
            "telephone_number": "912-354-5543",
            "fax_number": "912-354-9365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 EDDIE JUNGEMANN DRIVE, SUITE B",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "31408",
            "telephone_number": "912-964-7684",
            "fax_number": "912-354-9365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "RICHARD",
        "middle_name": "STAT",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-15",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "GA",
            "license": "036446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000532441E",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "440003516",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "454524",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G36446",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Danielle Ross
• Priscilla Bishop Ross, MD
• Rossco LLC (Live Well MD)
• Melinda Roszkowiak, FNP
• Mary-Anne Roth, NP
• Steven Roth, MD
• Dana Rothbart
• Sierra Rothbarth
• Christy Lynn Rouse, LMT
• Julia Ann Routhier, DMD

• Infectious Disease Physician in Savannah, GA
• Providers in Savannah, GA by specialty
• Infectious Disease Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; 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.