DR. SAMUEL J ROTH M.D.
NPI 1164495008
Anesthesiology in San Bernardino, CA
About Dr. Samuel J Roth M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SAMUEL J ROTH M.D. (NPI 1164495008) is an individual anesthesiology provider in San Bernardino, California, licensed in California (G41016) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of Un Of California, Irvine, College Of Medicine (1978).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 5
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
Dr. Samuel J Roth M.d. 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.
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.
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.
SAN BERNARDINO, CA 92404
SAN BERNARDINO, CA 92404
SAN BERNARDINO, CA 92404
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 Samuel Roth's NPI number?
The NPI number for Samuel Roth is 1164495008. It was assigned to this individual provider in the NPPES registry on February 10, 2006.
Where is Samuel Roth located?
Samuel Roth practices at 2101 N Waterman Ave, San Bernardino, CA 92404. The listed phone number is (909) 883-8711.
What is Samuel Roth's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Samuel Roth enrolled in Medicare?
Yes. Samuel 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.
When was this NPI record last updated?
The NPPES record for Samuel Roth was last updated on February 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Samuel J Roth, M.D. · NPI 1164495008
Anesthesiology physician in San Bernardino, California. Individual provider, active in the CMS NPPES registry since February 10, 2006.
## Identity
- **NPI:** 1164495008 (Entity type: Individual)
- **Enumerated:** February 10, 2006
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** G41016 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 2101 N WATERMAN AVE, San Bernardino, CA 92404-4836
- **Phone:** (909) 883-8711
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Un Of California, Irvine, College Of Medicine, class of 1978
## Record status
- **NPPES last updated:** February 23, 2009
- **Other identifiers:** Medicare PIN AV320Z (CA); Medicaid 00G410160 (CA); Medicare PIN 00G410160 (CA); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1164495008) · Data from the CMS NPPES public registry.