MICHAEL DEREK ROTH MD
NPI 1235159427
Internal Medicine - Pulmonary Disease in Los Angeles, CA

Active since July 20, 2006PECOS EnrolledAccepts Medicare Assignment
86.1/100
CMS Quality Rating
200 MEDICAL PLAZA, #365,530,420,120, LOS ANGELES, CA 90095(310) 825-6301 Get Directions Write a Review

NPPES record last updated: July 19, 2010. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Michael Derek Roth Md NPPES

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

MICHAEL DEREK ROTH MD (NPI 1235159427) is an individual pulmonary disease provider in Los Angeles, California, licensed in California (G53992) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of University Of California, Geffen School Of Medicine (1983).

NPPES Registry Identity

NPI1235159427
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameMICHAEL DEREK ROTHCredential: MD
Location Address200 MEDICAL PLAZA, #365,530,420,120Los Angeles, CA 90095
Mailing Address5767 W Century Blvd, Suite 200Los Angeles, CA 90045-5632 · (310) 825-8061
Sole ProprietorNo
Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 1983
Enumeration DateJuly 20, 2006
Last NPPES UpdateJuly 19, 2010
✔ NPI 1235159427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in CA · G53992
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
200 MEDICAL PLAZA, Los Angeles, CA 90095

Other Identifiers 2

Medicaid00G539920CA
Medicare PINWG53992ACA

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

Michael Derek 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 ID3971762543
PECOS Enrollment IDI20120319000168
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.

Medicare Billing Reassignment

Medicare enrollment records show Michael Roth reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
200 MEDICAL PLAZA, SUITE 365,530,420,250,120,214
Los Angeles, CA 90095
  • Reassigned Medicare billing, California enrollment
  • 1,766 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 2

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.

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.
50 services29 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
30 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90095 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

86.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.93
Promoting Interoperability100
Improvement Activities40
Cost66.73

Referred Medical Equipment & Supplies CMS DME claims 4

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

High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each E0483
DME-Other DME · category DE000N
1 supplier25 claims25 services$789.08 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier16 claims16 services$3.32 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
6 suppliers60 claims60 services$72.31 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
4 suppliers42 claims42 services$31.57 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.

Internal Medicine (Nephrology)
200 MEDICAL PLAZA, #365,420,120,530
LOS ANGELES, CA 90095
Internal Medicine
200 MEDICAL PLAZA, #214,365,530,420,120
LOS ANGELES, CA 90095
Internal Medicine (Rheumatology)
200 MEDICAL PLAZA, #365,530,420,120
LOS ANGELES, CA 90095
Otolaryngology
200 MEDICAL PLAZA, #550
LOS ANGELES, CA 90095
Internal Medicine (Nephrology)
200 MEDICAL PLAZA, #365,530,420,120
LOS ANGELES, CA 90095
Internal Medicine (Allergy & Immunology)
200 MEDICAL PLAZA, #365,530,420,120
LOS ANGELES, CA 90095
Internal Medicine
200 MEDICAL PLAZA, #365
LOS ANGELES, CA 90095
Internal Medicine (Cardiovascular Disease)
200 MEDICAL PLAZA, #365,530,420,120
LOS ANGELES, CA 90095

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 Michael Roth's NPI number?

The NPI number for Michael Roth is 1235159427. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Michael Roth located?

Michael Roth practices at 200 Medical Plaza #365,530,420,120, Los Angeles, CA 90095. The listed phone number is (310) 825-6301.

What is Michael Roth's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Michael Roth enrolled in Medicare?

Yes. Michael 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 Michael Roth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Roth reassigns Medicare benefits to The Regents Of The University Of California (Los Angeles, CA). 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 Michael Roth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michael Roth was last updated on July 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.