MRS. SAMANTHA TELARROJA ROTH PA-C
NPI 1528504768
Physician Assistant in Las Vegas, NV

Q: What is Samantha Roth's NPI number?

The NPI number for Samantha Roth is 1528504768. It was assigned to this individual provider in the NPPES registry on January 11, 2017. The provider is also known as Samantha Rachele Telarroja Pa-C.

Q: What is Samantha Roth's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Roth was last updated on February 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since January 11, 2017PECOS EnrolledAccepts Medicare Assignment

4029 DEAN MARTIN DR, LAS VEGAS, NV 89103(702) 848-2256 Get Directions Write a Review

NPPES record last updated: February 28, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 28, 2025, May 20, 2022, Jun 14, 2021 and 2 more (5 updates tracked since 2017).

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About Mrs. Samantha Telarroja Roth Pa-c NPPES

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

MRS. SAMANTHA TELARROJA ROTH PA-C (NPI 1528504768) is an individual physician assistant in Las Vegas, Nevada, licensed in Mississippi (PA00496) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1528504768

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMRS. SAMANTHA TELARROJA ROTHCredential: PA-C

Location Address4029 DEAN MARTIN DRLas Vegas, NV 89103-4138

Mailing Address4029 Dean Martin DrLas Vegas, NV 89103-4138

Phone(702) 848-2256

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJanuary 11, 2017

Last NPPES UpdateFebruary 28, 20255 updates tracked since enumeration

NPPES CertifiedFebruary 28, 2025

✔ NPI 1528504768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in MS · PA00496✔ Licensed in NV · PA3008

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

4029 DEAN MARTIN DR, Las Vegas, NV 89103

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Other Names 1

Former Name (1)Samantha Rachele Telarroja Pa-c

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Samantha Telarroja Roth Pa-c 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 ID1052694007

PECOS Enrollment IDI20170216002748

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.

Areas of Expertise CMS Part B claims 3

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

95 services95 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

50 services50 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89103 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

$88.51 typical visit price

range $57.07 – $173.24

Typical copayment $22.12 (range $14.26 – $43.31)

Most-billed visit code 99203

Established Patient

$71.14 typical visit price

range $18.27 – $140.96

Typical copayment $17.78 (range $4.56 – $35.24)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. GRANT A BULLOCK

Psychiatry & Neurology (Psychiatry)