SAN DIEGO INTERNAL MEDICINE ASSOCIATES
NPI 1578657383
Internal Medicine - Adolescent Medicine in San Diego, CA

Active since October 03, 2006
8765 AERO DRIVE, SUITE 130, SAN DIEGO, CA 92123(858) 541-0181(858) 637-9035 Get Directions Write a Review

NPPES record last updated: November 11, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 11, 2024, Jul 23, 2024, Aug 1, 2022 and 3 more (6 updates tracked since 2017).

About San Diego Internal Medicine Associates NPPES

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

SAN DIEGO INTERNAL MEDICINE ASSOCIATES (NPI 1578657383) is a healthcare organization registered as an adolescent medicine in San Diego, California and active in the NPI registry since October 2006. The organization maintains 2 additional practice locations and lists Kenneth J Roth, General Partner, as its authorized official.

NPPES Registry Identity

NPI1578657383
Entity TypeOrganization
Primary Taxonomy207RA0000X
Legal Business NameKEN ROTH MD & ROLF EHLERS MD SAN DIEGO INTERNAL MEDICINE ASSOC
Location Address8765 AERO DRIVE, SUITE 130San Diego, CA 92123-1767
Mailing Address8765 Aero Drive, Suite 130San Diego, CA 92123-1767 · (858) 541-0181 · Fax (858) 637-9035
Fax(858) 637-9035
Organization SubpartNo
Authorized OfficialKenneth J RothGeneral Partner · (858) 541-0181
Enumeration DateOctober 3, 2006
Last NPPES UpdateNovember 11, 20246 updates tracked since enumeration
NPPES CertifiedNovember 11, 2024
✔ NPI 1578657383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0000X
Definition
An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
8765 AERO DRIVE, San Diego, CA 92123

Other Names 1

Doing Business AsSan Diego Internal Medicine Associates

Secondary Practice Locations 2

Location 12790 Truxtun Rd Ste 100San Diego, CA 92106-6135 · Phone (858) 541-0181
Location 27525 Linda Vista Rd Ste ASan Diego, CA 92111-5344 · Phone (858) 277-2361 · Fax (858) 569-1981

Other Identifiers 1

OtherW12070CA · Medicare

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

San Diego Internal Medicine Associates is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

13

Medicare enrollment records show 13 clinicians reassign Medicare billing to San Diego Internal Medicine Associates, which bills Medicare for the services they deliver. Of these, 10 practice at this address and 12 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Internal Medicine6
Nurse Practitioner5
Emergency Medicine1
Family Practice1

Clinicians, nearest first (13)

Emergency Medicine
NPI 1184184251
8765 AERO DR STE 130
San Diego, CA 92123
(858) 541-0181
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1801488069
8765 AERO DR STE 130
San Diego, CA 92123
(858) 541-0181
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1114368628
8765 AERO DR STE 130
San Diego, CA 92123
(858) 541-0181
✔ PECOSSame address
Internal Medicine
NPI 1750475562
8765 AERO DRIVE SUITE 130
San Diego, CA 92123
(858) 541-0181
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1417994898
8765 AERO DR SUITE 130
San Diego, CA 92123
(858) 541-0181
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1235818162
8765 AERO DR STE 130
San Diego, CA 92123
(858) 541-0181
✔ PECOSSame address
Nurse Practitioner
NPI 1942033287
8765 AERO DR STE 130
San Diego, CA 92123
(858) 541-0181
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1205939832
8765 AERO DR SUITE 130
San Diego, CA 92123
(858) 541-0181
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1174900823
8765 AERO DR STE 130
San Diego, CA 92123
(858) 541-0181
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1942238878
8745 AERO DR STE 106
San Diego, CA 92123
(858) 868-0820
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1407875941
7525 LINDA VISTA RD STE A
San Diego, CA 92111
(858) 277-2361
✔ PECOS✔ Accepts Medicare1.3 mi
Internal Medicine
NPI 1174729255
2790 TRUXTUN RD STE 100
San Diego, CA 92106
(619) 610-9790
✔ PECOS✔ Accepts Medicare7.3 mi
Nurse Practitioner
NPI 1134329287
425 CALIFORNIA ST STE 1400
San Francisco, CA 94104
(855) 527-1850
✔ PECOS454 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Ken Roth MD & Rolf Ehlers MD San Diego Internal Medicine Assoc's NPI number?

The NPI number for Ken Roth MD & Rolf Ehlers MD San Diego Internal Medicine Assoc is 1578657383. It was assigned to this organization in the NPPES registry on October 3, 2006. The provider is doing business as San Diego Internal Medicine Associates.

Where is Ken Roth MD & Rolf Ehlers MD San Diego Internal Medicine Assoc located?

Ken Roth MD & Rolf Ehlers MD San Diego Internal Medicine Assoc is located at 8765 Aero Drive Suite 130, San Diego, CA 92123. The listed phone number is (858) 541-0181.

What is Ken Roth MD & Rolf Ehlers MD San Diego Internal Medicine Assoc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Adolescent Medicine, with taxonomy code 207RA0000X.

Is Ken Roth MD & Rolf Ehlers MD San Diego Internal Medicine Assoc enrolled in Medicare?

Yes. Ken Roth MD & Rolf Ehlers MD San Diego Internal Medicine Assoc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ken Roth MD & Rolf Ehlers MD San Diego Internal Medicine Assoc?

According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 4 Medicare specialties reassign their Medicare billing to Ken Roth MD & Rolf Ehlers MD San Diego Internal Medicine Assoc. A 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 the clinician's services. The largest specialties are Internal Medicine (6), Nurse Practitioner (5) and Emergency Medicine (1). Of these, 10 practice at this address and 12 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ken Roth MD & Rolf Ehlers MD San Diego Internal Medicine Assoc was last updated on November 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.