NATHAN THOMAS ROTH M.D.
NPI 1215164348
Radiology - Diagnostic Radiology in Jacksonville, FL
About Nathan Thomas Roth M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NATHAN THOMAS ROTH M.D. (NPI 1215164348) is an individual diagnostic radiology provider in Jacksonville, Florida, licensed in Florida (ME123322) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent's Riverside, and is a graduate of University Of Miami, Lm Miller School Of Medicine (2009).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Nathan Thomas 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 Billing Reassignment
Medicare enrollment records show Nathan Roth reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Jacksonville, FL 32204
- Reassigned Medicare billing, Florida enrollment
- 31 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 64
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ascension St Vincent's Riverside
Acute Care Hospitals · Jacksonville, FLBaptist Health Medical Center - Jacksonville
Acute Care Hospitals · Jacksonville, FLAscension St Vincent's Southside
Acute Care Hospitals · Jacksonville, FLAscension St Vincent's Clay County
Acute Care Hospitals · Middleburg, FLAscension St Vincent's St Johns County
Acute Care Hospitals · St Johns, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32204 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
JACKSONVILLE, FL 32204
JACKSONVILLE, FL 32204
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 Nathan Roth's NPI number?
The NPI number for Nathan Roth is 1215164348. It was assigned to this individual provider in the NPPES registry on June 16, 2009.
Where is Nathan Roth located?
Nathan Roth practices at 1800 Barrs St Radiology Dept, Jacksonville, FL 32204. The listed phone number is (904) 308-7300.
What is Nathan Roth's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Nathan Roth enrolled in Medicare?
Yes. Nathan 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.
Which organization bills Medicare for Nathan Roth's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nathan Roth reassigns Medicare benefits to Doctors Mcclow Clark & Berk PA (Jacksonville, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nathan Roth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Nathan Roth affiliated with any hospitals?
According to CMS data, Nathan Roth is affiliated with Ascension St Vincent's Riverside, Baptist Health Medical Center - Jacksonville, Ascension St Vincent's Southside, Ascension St Vincent's Clay County and Ascension St Vincent's St Johns County.
When was this NPI record last updated?
The NPPES record for Nathan Roth was last updated on August 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.