DR. AMELIA BOGART ROTH M.D.
NPI 1659516557
Pediatrics - Developmental - Behavioral Pediatrics in Eugene, OR

Active since December 05, 2008PECOS Enrolled
901 E 18TH AVE, EUGENE, OR 97403(541) 346-3575 Get Directions Write a Review

NPPES record last updated: August 19, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 19, 2019, Mar 17, 2018 (2 updates tracked since 2018).

About Dr. Amelia Bogart Roth M.d. NPPES

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

DR. AMELIA BOGART ROTH M.D. (NPI 1659516557) is an individual developmental - behavioral pediatrics provider in Eugene, Oregon, licensed in Oregon (MD155302) and active in the NPI registry since December 2008. She is enrolled in Medicare PECOS and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1659516557
Entity TypeIndividualFemale
Primary Taxonomy2080P0006X
Provider Legal NameDR. AMELIA BOGART ROTHCredential: M.D.
Location Address901 E 18TH AVEEugene, OR 97403-1354
Mailing Address901 E 18th AveEugene, OR 97403-1354 · (541) 346-3575
Sole ProprietorYes
Enumeration DateDecember 5, 2008
Last NPPES UpdateAugust 19, 20192 updates tracked since enumeration
✔ NPI 1659516557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Developmental - Behavioral PediatricsAllopathic & Osteopathic Physicians
Taxonomy Code2080P0006X
License✔ Licensed in OR · MD155302
Definition
A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
Also ListedPediatricsTaxonomy 208000000X · License MD155302 (OR)
901 E 18TH AVE, Eugene, OR 97403

Secondary Practice Location 1

Location 13181 SW Sam Jackson Park RdPortland, OR 97239-3011 · Phone (503) 418-5170

Other Identifiers 1

OtherMD155302OR · Medical License

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Amelia Bogart 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Amelia Roth reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
2073 OLYMPIC ST
Springfield, OR 97477
  • Reassigned Medicare billing, Oregon enrollment
  • 143 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
316 W. A STREET
Drain, OR 97435
  • Reassigned Medicare billing, Oregon enrollment
  • 52 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.

Other Providers at the Same Location NPPES 20

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

Physical Therapist
901 E 18TH AVE
EUGENE, OR 97403
Nurse Practitioner (Pediatrics)
901 E 18TH AVE
EUGENE, OR 97403
Physical Therapist
901 E 18TH AVE
EUGENE, OR 97403
Dietitian, Registered
901 E 18TH AVE
EUGENE, OR 97403
Clinic/Center (Multi-Specialty)
901 E 18TH AVE
EUGENE, OR 97403
General Practice
901 E 18TH AVE
EUGENE, OR 97403
General Practice
901 E 18TH AVE
EUGENE, OR 97403
Audiologist
901 E 18TH AVE
EUGENE, OR 97403

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 Amelia Roth's NPI number?

The NPI number for Amelia Roth is 1659516557. It was assigned to this individual provider in the NPPES registry on December 5, 2008.

Where is Amelia Roth located?

Amelia Roth practices at 901 E 18th Ave, Eugene, OR 97403. The listed phone number is (541) 346-3575.

What is Amelia Roth's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Developmental - Behavioral Pediatrics, with taxonomy code 2080P0006X.

Is Amelia Roth enrolled in Medicare?

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

Which organizations bill Medicare for Amelia Roth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amelia Roth reassigns Medicare benefits to 2 organizations: Lane County Oregon (Springfield, OR) and Umpqua Community Health Center, Inc. (Drain, OR). 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 Amelia Roth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amelia Roth accept?

Health plans from Moda Health Plan, Inc. list Amelia 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 Amelia Roth was last updated on August 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.