DAVID ROTH MD
NPI 1023033925
Internal Medicine - Nephrology in Miami, FL

Active since July 12, 2006PECOS EnrolledAccepts Medicare Assignment
81.31/100
CMS Quality Rating
1611 NW 12TH AVE, BOX 016960 M851, MIAMI, FL 33136(305) 585-1111(305) 243-8470 Get Directions Write a Review

NPPES record last updated: January 24, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About David Roth Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID ROTH MD (NPI 1023033925) is an individual nephrology provider in Miami, Florida, licensed in Florida (ME32997) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Jackson Health System, and is a graduate of Other (1977).

NPPES Registry Identity

NPI1023033925
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDAVID ROTHCredential: MD
Location Address1611 NW 12TH AVE, BOX 016960 M851Miami, FL 33136-1005
Mailing Address1500 Nw 12th Ave, Jmt-east 1007Miami, FL 33136-1028 · (305) 243-4664 · Fax (305) 243-9927
Fax(305) 243-8470
Sole ProprietorNo
Medical School CMSOtherGraduated 1977
Enumeration DateJuly 12, 2006
Last NPPES UpdateJanuary 24, 2014
NPI 1023033925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in FL · ME32997
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

1611 NW 12TH AVE, Miami, FL 33136

Other Identifiers 3

Medicare UPIN95990FL
Medicare UPIND78950
Medicaid0665738-00FL

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

David Roth Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648440701
PECOS Enrollment IDI20110826000652
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
111 services40 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
101 services77 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
56 services49 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Jackson Health System

Acute Care Hospitals · Miami, FL
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100022
Location1611 NW 12th AveMiami, FL 33136 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33136 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.45
Promoting Interoperability100
Improvement Activities40
Cost50.59

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
12 suppliers201 claims29,880 services$0.33 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
4 suppliers89 claims14,685 services$0.01 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
6 suppliers70 claims7,860 services$0.18 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
7 suppliers134 claims20,130 services$0.96 avg. paid by Medicare
Sirolimus, oral, 1 mg J7520
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier11 claims330 services$2.72 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
11 suppliers205 claims205 services$18.14 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
1611 NW 12TH AVE
MIAMI, FL 33136
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1611 NW 12TH AVE, PHARMACY ADM. OFFICES/EAST TOWER BASEMENT 069
MIAMI, FL 33136
Student in an Organized Health Care Education/Training Program
1611 NW 12TH AVE
MIAMI, FL 33136
Pediatrics (Pediatric Cardiology)
1611 NW 12TH AVE
MIAMI, FL 33136
Nurse Practitioner (Adult Health)
1611 NW 12TH AVE
MIAMI, FL 33136
Anesthesiology
1611 NW 12TH AVE, CENTRAL 300
MIAMI, FL 33136
Pathology (Anatomic Pathology)
1611 NW 12TH AVE
MIAMI, FL 33136
Surgery
1611 NW 12TH AVE
MIAMI, FL 33136

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Roth's NPI number?

The NPI number for David Roth is 1023033925. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is David Roth located?

David Roth practices at 1611 NW 12th Ave Box 016960 M851, Miami, FL 33136. The listed phone number is (305) 585-1111.

What is David Roth's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is David Roth enrolled in Medicare?

Yes. David Roth is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does David Roth accept?

Health plans from AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and UnitedHealthcare list David Roth as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is David Roth affiliated with any hospitals?

According to CMS data, David Roth is affiliated with Jackson Health System.

When was this NPI record last updated?

The NPPES record for David Roth was last updated on January 24, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.