KYLE A ROTH NP
NPI 1659238822
Nurse Practitioner - Family in Pocatello, ID
About Kyle A Roth Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KYLE A ROTH NP (NPI 1659238822) is an individual family provider in Pocatello, Idaho, licensed in Idaho (4271998) and active in the NPI registry since January 2026. He is enrolled in Medicare PECOS, maintains a secondary practice location in Downey, and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kyle A Roth Np 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.
Medicare Billing Reassignments
2Medicare enrollment records show Kyle Roth reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Pocatello, ID 83201
- Reassigned Medicare billing, Idaho enrollment
Parsons, TN 38363
- Reassigned Medicare billing, Idaho enrollment
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 83201 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 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
POCATELLO, ID 83201
POCATELLO, ID 83201
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 Kyle Roth's NPI number?
The NPI number for Kyle Roth is 1659238822. It was assigned to this individual provider in the NPPES registry on January 8, 2026.
Where is Kyle Roth located?
Kyle Roth practices at 444 Hospital Way Ste 422, Pocatello, ID 83201. The listed phone number is (208) 423-8132.
What is Kyle Roth's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kyle Roth enrolled in Medicare?
Yes. Kyle Roth is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Kyle Roth's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Roth reassigns Medicare benefits to 2 organizations: Roth Family Medicine And Mental Health (Pocatello, ID) and Truhealth, LLC (Parsons, TN). Each 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 Kyle Roth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kyle Roth accept?
Health plans from PacificSource Health Plans and Providence Health Plan list Kyle Roth as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kyle Roth was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Kyle A Roth, NP · NPI 1659238822
Family physician in Pocatello, Idaho. Individual provider, active in the CMS NPPES registry since January 8, 2026.
## Identity
- **NPI:** 1659238822 (Entity type: Individual)
- **Enumerated:** January 8, 2026
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 4271998 (Idaho)
- **Sole proprietor:** No
## Practice location
- **Address:** 444 HOSPITAL WAY STE 422, Pocatello, ID 83201-2744
- **Phone:** (208) 423-8132 · **Fax:** (208) 203-6420
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Roth Family Medicine And Mental Health (NPI 1144168881, Pocatello, ID); Truhealth, LLC (NPI 1063843951, Parsons, TN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** June 5, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1659238822) · Data from the CMS NPPES public registry.