DR. KATHERINE RAE ROTH M.D.
NPI 1417143553
Internal Medicine in Washington, MI
About Dr. Katherine Rae Roth M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KATHERINE RAE ROTH M.D. (NPI 1417143553) is an individual internal medicine provider in Washington, Michigan, licensed in Michigan (4301097800) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS, is affiliated with Henry Ford Macomb Hospital, and is a graduate of Wayne State University School Of Medicine (2007).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
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
Dr. Katherine Rae 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 Reassignments
2Medicare enrollment records show Katherine Roth reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mount Clemens, MI 48043
- Reassigned Medicare billing, Michigan enrollment
- 84 clinicians in this Medicare group
Lapeer, MI 48446
- Reassigned Medicare billing, Michigan enrollment
- 416 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 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Henry Ford Macomb Hospital
Acute Care Hospitals · Clinton Township, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48094 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WASHINGTON, MI 48094
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 Katherine Roth's NPI number?
The NPI number for Katherine Roth is 1417143553. It was assigned to this individual provider in the NPPES registry on September 21, 2007.
Where is Katherine Roth located?
Katherine Roth practices at 58024 Van Dyke Rd, Washington, MI 48094. The listed phone number is (586) 781-5535.
What is Katherine Roth's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Katherine Roth enrolled in Medicare?
Yes. Katherine 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 organizations bill Medicare for Katherine Roth's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Roth reassigns Medicare benefits to 2 organizations: Henry Ford Physician Partners (Mount Clemens, MI) and Mclaren Medical Group (Lapeer, MI). Each 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 Katherine Roth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Katherine Roth accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Katherine Roth as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Katherine Roth affiliated with any hospitals?
According to CMS data, Katherine Roth is affiliated with Henry Ford Macomb Hospital.
When was this NPI record last updated?
The NPPES record for Katherine Roth was last updated on September 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.
# Dr. Katherine Rae Roth, M.D. · NPI 1417143553
Internal Medicine physician in Washington, Michigan. Individual provider, active in the CMS NPPES registry since September 21, 2007.
## Identity
- **NPI:** 1417143553 (Entity type: Individual)
- **Enumerated:** September 21, 2007
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 4301097800 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 58024 VAN DYKE RD, Washington, MI 48094-4518
- **Phone:** (586) 781-5535 · **Fax:** (586) 781-6063
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Henry Ford Physician Partners (NPI 1427703602, Mount Clemens, MI); Mclaren Medical Group (NPI 1073650750, Lapeer, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Wayne State University School Of Medicine, class of 2007
## Record status
- **NPPES last updated:** September 3, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1417143553) · Data from the CMS NPPES public registry.