STEPHEN ROTH M.D.
NPI 1629161401
Pediatrics in Downers Grove, IL

Active since October 02, 2006PECOS Enrolled
412 63RD ST, SUITE 105, DOWNERS GROVE, IL 60516(630) 915-5437 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stephen Roth M.d. NPPES

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

STEPHEN ROTH M.D. (NPI 1629161401) is an individual pediatrics provider in Downers Grove, Illinois and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629161401
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameSTEPHEN ROTHCredential: M.D.
Location Address412 63RD ST, SUITE 105Downers Grove, IL 60516-2000
Mailing Address100 W Monroe StChicago, IL 60603-1967 · (630) 915-5437
Sole ProprietorYes
Enumeration DateOctober 2, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1629161401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
412 63RD ST, Downers Grove, IL 60516

Other Identifiers 1

Other0021627803IL · Blue Cross Id

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Stephen Roth M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60516 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
Most-billed visit code 99214
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 10

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

Home Health
412 63RD ST, SUITE # 108
DOWNERS GROVE, IL 60516
Physical Therapist
412 63RD ST
DOWNERS GROVE, IL 60516
Obstetrics & Gynecology
412 63RD ST
DOWNERS GROVE, IL 60516
Nurse Practitioner (Family)
412 63RD ST
DOWNERS GROVE, IL 60516
Physical Therapist
412 63RD ST, SUITE 108
DOWNERS GROVE, IL 60516
Family Medicine
412 63RD ST, SUITE 100
DOWNERS GROVE, IL 60516
Obstetrics & Gynecology
412 63RD ST
DOWNERS GROVE, IL 60516
Family Medicine
412 63RD ST
DOWNERS GROVE, IL 60516

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 Stephen Roth's NPI number?

The NPI number for Stephen Roth is 1629161401. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Stephen Roth located?

Stephen Roth practices at 412 63rd St Suite 105, Downers Grove, IL 60516. The listed phone number is (630) 915-5437.

What is Stephen Roth's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Stephen Roth enrolled in Medicare?

Yes. Stephen Roth is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stephen Roth was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.