RUDOLF ROTH MD
NPI 1386683886
Dermatology in Radnor, PA
About Rudolf Roth Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RUDOLF ROTH MD (NPI 1386683886) is an individual dermatology provider in Radnor, Pennsylvania, licensed in Pennsylvania (MD073956L) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Rudolf Roth Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Rudolf Roth reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Berwyn, PA 19312
- Reassigned Medicare billing, Pennsylvania enrollment
- 3,488 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19087 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.
RADNOR, PA 19087
RADNOR, PA 19087
RADNOR, PA 19087
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 Rudolf Roth's NPI number?
The NPI number for Rudolf Roth is 1386683886. It was assigned to this individual provider in the NPPES registry on June 6, 2006.
Where is Rudolf Roth located?
Rudolf Roth practices at 250 King Of Prussia Rd, Radnor, PA 19087. The listed phone number is (610) 902-2000.
What is Rudolf Roth's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Rudolf Roth enrolled in Medicare?
Yes. Rudolf Roth is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Rudolf Roth's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rudolf Roth reassigns Medicare benefits to University Of Penn-Medical Group (Berwyn, PA). 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 Rudolf 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 Rudolf Roth was last updated on August 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Rudolf Roth, MD · NPI 1386683886
Dermatology physician in Radnor, Pennsylvania. Individual provider, active in the CMS NPPES registry since June 6, 2006.
## Identity
- **NPI:** 1386683886 (Entity type: Individual)
- **Enumerated:** June 6, 2006
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **State license:** MD073956L (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 250 KING OF PRUSSIA RD, Radnor, PA 19087
- **Phone:** (610) 902-2000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Of Penn-Medical Group (NPI 1396133559, Berwyn, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 12, 2015
- **Other identifiers:** Medicare UPIN H46482; Medicaid 0018542420003 (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1386683886) · Data from the CMS NPPES public registry.