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KALE JAMES ROTH M.D.
NPI 1164869053
Hospitalist in Winston Salem, NC

Active since May 31, 2013PECOS EnrolledAccepts Medicare Assignment
3333 SILAS CREEK PKWY, WINSTON SALEM, NC 27103(336) 718-7080(336) 718-9622 Get Directions Write a Review

NPPES record last updated: October 25, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Kale James Roth M.d. NPPES

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

KALE JAMES ROTH M.D. (NPI 1164869053) is an individual hospitalist provider in Winston Salem, North Carolina, licensed in North Carolina (2016-00761) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, is affiliated with Northern Regional Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1164869053
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameKALE JAMES ROTHCredential: M.D.
Location Address3333 SILAS CREEK PKWYWinston Salem, NC 27103-3013
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (336) 718-7080 · Fax (336) 718-9622
Phone(336) 718-7080
Fax(336) 718-9622
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMay 31, 2013
Last NPPES UpdateOctober 25, 2020
NPPES CertifiedSeptember 6, 2020
✔ NPI 1164869053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in NC · 2016-00761
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 2016-00761 (NC)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3333 SILAS CREEK PKWY, Winston Salem, NC 27103
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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

Kale James 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.

PECOS PAC ID8729375175
PECOS Enrollment IDI20160928001579
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 4

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 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
245 services104 patients
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.
127 services58 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
73 services71 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
63 services60 patients

Hospital Affiliations CMS Care Compare 2

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

Northern Regional Hospital

Acute Care Hospitals · Mount Airy, NC
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340003
Location830 Rockford StMount Airy, NC 27030 · Surry County
Emergency services Birthing friendly

Novant Health Forsyth Medical Center

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340014
Location3333 Silas Creek ParkwayWinston-Salem, NC 27103 · Forsyth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27103 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers18 claims18 services$18.89 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers58 claims58 services$92.43 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$28.34 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers19 claims19 services$22.91 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
2 suppliers22 claims22 services$34.12 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.

DR. DEEPAK S NAIR M.D.
Psychiatry & Neurology (Neurology)
3333 SILAS CREEK PKWY
WINSTON SALEM, NC 27103
Forsyth County (336) 718-7224
BROOKE WILLIAMS DO
Hospitalist
3333 SILAS CREEK PKWY
WINSTON SALEM, NC 27103
Forsyth County (336) 718-8383
BONNIE LYNN GAUDIN PA
Physician Assistant (Medical)
3333 SILAS CREEK PKWY, EMERGENCY DEPARTMENT
WINSTON SALEM, NC 27103
Forsyth County (336) 275-3325
RALPH DENTON UPDYKE JR. PA
Physician Assistant
3333 SILAS CREEK PKWY
WINSTON SALEM, NC 27103
Forsyth County (336) 718-7041
DR. DENNIS WARREN ROSS MD
Pathology (Hematology)
3333 SILAS CREEK PKWY
WINSTON-SALEM, NC 27103
Forsyth County (336) 718-3737
MR. KYLE TIMOTHY ROBERTS PA
Physician Assistant
3333 SILAS CREEK PKWY
WINSTON SALEM, NC 27103
Forsyth County (336) 718-7080
JUAN CARLOS VARELA M.D., PHD
Internal Medicine (Hematology)
3333 SILAS CREEK PKWY
WINSTON SALEM, NC 27103
Forsyth County (336) 718-5570
DR. MARIE HUFFMASTER THOMAS FNP-C
Nurse Practitioner (Family)
3333 SILAS CREEK PKWY
WINSTON SALEM, NC 27103
Forsyth County (336) 718-5000

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 Kale Roth's NPI number?

The NPI number for Kale Roth is 1164869053. It was assigned to this individual provider in the NPPES registry on May 31, 2013.

Where is Kale Roth located?

Kale Roth practices at 3333 Silas Creek Pkwy, Winston Salem, NC 27103. The listed phone number is (336) 718-7080.

What is Kale Roth's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Kale Roth enrolled in Medicare?

Yes. Kale 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.

Is Kale Roth affiliated with any hospitals?

According to CMS data, Kale Roth is affiliated with Northern Regional Hospital and Novant Health Forsyth Medical Center.

When was this NPI record last updated?

The NPPES record for Kale Roth was last updated on October 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.