ROBERT ROTH MD
NPI 1417607391
Student in an Organized Health Care Education/Training Program in Portland, ME
About Robert Roth Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROBERT ROTH MD (NPI 1417607391) is an individual student in an organized health care education/training program in Portland, Maine and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Robert Roth Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
PORTLAND, ME 04102
PORTLAND, ME 04102
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 Robert Roth's NPI number?
The NPI number for Robert Roth is 1417607391. It was assigned to this individual provider in the NPPES registry on March 24, 2022.
Where is Robert Roth located?
Robert Roth practices at 22 Bramhall St, Portland, ME 04102. The listed phone number is (207) 662-0111.
What is Robert Roth's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Robert Roth enrolled in Medicare?
Yes. Robert Roth is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Robert Roth was last updated on October 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days 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.
# Robert Roth, MD · NPI 1417607391
Student in an Organized Health Care Education/Training Program provider in Portland, Maine. Individual provider, active in the CMS NPPES registry since March 24, 2022.
## Identity
- **NPI:** 1417607391 (Entity type: Individual)
- **Enumerated:** March 24, 2022
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 22 BRAMHALL ST, Portland, ME 04102-3134
- **Phone:** (207) 662-0111
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** October 2, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1417607391) · Data from the CMS NPPES public registry.