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DR. JACOB ROTH DPM
NPI 1205398724
Podiatrist - Foot & Ankle Surgery in Hollywood, FL

Active since April 03, 2019PECOS Enrolled
4000 HOLLYWOOD BLVD STE 745S, HOLLYWOOD, FL 33021(585) 474-4589 Get Directions Write a Review

NPPES record last updated: March 1, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 1, 2022, Feb 14, 2022, Apr 3, 2019 (3 updates tracked since 2019).

About Dr. Jacob Roth Dpm NPPES

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

DR. JACOB ROTH DPM (NPI 1205398724) is an individual foot & ankle surgery provider in Hollywood, Florida, licensed in Pennsylvania (SC007030) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205398724
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. JACOB ROTHCredential: DPM
Location Address4000 HOLLYWOOD BLVD STE 745SHollywood, FL 33021-1218
Mailing Address911 Wood St Apt 2Philadelphia, PA 19107-1886 · (585) 474-4589
Phone(585) 474-4589
Sole ProprietorYes
Enumeration DateApril 3, 2019
Last NPPES UpdateMarch 1, 20223 updates tracked since enumeration
NPPES CertifiedMarch 1, 2022
✔ NPI 1205398724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in PA · SC007030
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4000 HOLLYWOOD BLVD STE 745S, Hollywood, FL 33021
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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 (PECOS)

Dr. Jacob Roth Dpm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES

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

SOFLO PODIATRY LLC
Clinic/Center (Podiatric)
4000 HOLLYWOOD BLVD STE 745S
HOLLYWOOD, FL 33021
Broward County (585) 474-4589

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 Jacob Roth's NPI number?

The NPI number for Jacob Roth is 1205398724. It was assigned to this individual provider in the NPPES registry on April 3, 2019.

Where is Jacob Roth located?

Jacob Roth practices at 4000 Hollywood Blvd Ste 745S, Hollywood, FL 33021. The listed phone number is (585) 474-4589.

What is Jacob Roth's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Jacob Roth enrolled in Medicare?

Yes. Jacob Roth is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacob Roth was last updated on March 1, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.