Active NPI
Andrew M. Roth, M.D.
- Orthopaedic Surgery Physician
- Cincinnati, OH
National Provider Identifier
1972539872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 35039446 R
- Practice address
- 8250 Kenwood Crossing Way
Suite 100
Cincinnati, OH 45236-3668 - Phone
- (513) 221-5500
- Fax
- (513) 221-1962
- NPI assigned
- Jun 23, 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 35039446 R | OH | Primary |
Addresses
Primary practice location
8250 Kenwood Crossing Way
Suite 100
Cincinnati, OH 45236-3668
Mailing address
8250 Kenwood Crossing Way
Suite 100
Cincinnati, OH 45236-3668
Phone (513) 221-5500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0686315 | Medicaid | OH | |
| 64780075 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35039446 R | OH | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freiberg Orthopaedics & Sports Medicine | 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.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Cincinnati, OH
- NPI 1861450017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333324800000",
"number": "1972539872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8250 KENWOOD CROSSING WAY",
"address_2": "SUITE 100",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452363668",
"telephone_number": "513-221-5500",
"fax_number": "513-221-1962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8250 KENWOOD CROSSING WAY",
"address_2": "SUITE 100",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452363668",
"telephone_number": "513-221-5500",
"fax_number": "513-221-1962"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTH",
"first_name": "ANDREW",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2012-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "OH",
"license": "35039446 R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0686315",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64780075",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.