KATHERINE A ROTH MD
NPI 1528032950
Family Medicine in Traverse City, MI
About Katherine A Roth Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHERINE A ROTH MD (NPI 1528032950) is an individual family medicine provider in Traverse City, Michigan, licensed in Michigan (KR046406) and active in the NPI registry since February 2006. She has opted out of Medicare through October 1, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Katherine A Roth Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2015 through October 1, 2027.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49684 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TRAVERSE CITY, MI 49684
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 1528032950. It was assigned to this individual provider in the NPPES registry on February 14, 2006.
Where is Katherine Roth located?
Katherine Roth practices at 820 W Front St, Traverse City, MI 49684. The listed phone number is (231) 935-0848.
What is Katherine Roth's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Katherine Roth enrolled in Medicare?
No. Katherine Roth has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Katherine Roth was last updated on September 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Katherine A Roth, MD · NPI 1528032950
Family Medicine physician in Traverse City, Michigan. Individual provider, active in the CMS NPPES registry since February 14, 2006.
## Identity
- **NPI:** 1528032950 (Entity type: Individual)
- **Enumerated:** February 14, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** KR046406 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 820 W FRONT ST, Traverse City, MI 49684-2466
- **Phone:** (231) 935-0848
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through October 1, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** September 4, 2013
- **Other identifiers:** Medicare ID-Type Unspecified 0PO7710 (MI)
---
Source: [NPI Profile](https://npiprofile.com/npi/1528032950) · Data from the CMS NPPES public registry.