DR. JAMES A ROTH MD
NPI 1679527618
Internal Medicine - Clinical Cardiac Electrophysiology in Milwaukee, WI

Active since May 22, 2006PECOS EnrolledAccepts Medicare Assignment
9200 W WISCONSIN AVE, DIVISION OF CARDIOLOGY AND ELECTROPHYSIOLOGY, MILWAUKEE, WI 53226(414) 805-6204(414) 890-5877 Get Directions Write a Review

NPPES record last updated: December 13, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 13, 2022, Dec 16, 2020, Apr 9, 2019 (3 updates tracked since 2019).

About Dr. James A Roth Md NPPES

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

DR. JAMES A ROTH MD (NPI 1679527618) is an individual clinical cardiac electrophysiology provider in Milwaukee, Wisconsin, licensed in Wisconsin (36221) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with St. Agnes Hospital Hospice, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1679527618
Entity TypeIndividualMale
Primary Taxonomy207RC0001X
Provider Legal NameDR. JAMES A ROTHCredential: MD
Location Address9200 W WISCONSIN AVE, DIVISION OF CARDIOLOGY AND ELECTROPHYSIOLOGYMilwaukee, WI 53226-3522
Mailing Address9200 W Wisconsin Ave, Division Of Cardiology And ElectrophysiologyMilwaukee, WI 53226-3522 · (414) 805-6204 · Fax (414) 890-5877
Fax(414) 890-5877
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateMay 22, 2006
Last NPPES UpdateDecember 13, 20223 updates tracked since enumeration
NPPES CertifiedDecember 13, 2022
NPI 1679527618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Clinical Cardiac ElectrophysiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RC0001X
License Licensed in WI · 36221
Definition
A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 36221 (WI)
9200 W WISCONSIN AVE, Milwaukee, WI 53226

Secondary Practice Locations 2

Location 1430 E Division StFond Du Lac, WI 54935-4560 · Phone (920) 926-8230 · Fax (920) 926-8997
Location 2420 E Division StFond Du Lac, WI 54935-4560 · Phone (920) 926-8230 · Fax (920) 926-8997

Other Identifiers 2

Medicaid1679527618WI
Other002000139PHumana

Accepted 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

Dr. James A Roth Md 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 ID1153219738
PECOS Enrollment IDI20040305000680
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 20

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.

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.
611 services402 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294
This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.
271 services134 patients
Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days 93295
This procedure involves remotely monitoring your implantable defibrillator system, which can have single, dual, or multiple leads. Over a period of up to 90 days, the system's performance is evaluated to ensure it's working properly and providing the necessary heart rhythm support.
164 services78 patients
Programming of dual lead pacemaker system 93280
Programming of a dual lead pacemaker system is a procedure to adjust your heart's pacemaker settings. This process involves a small device, called a programmer, that communicates with your pacemaker to ensure it's working optimally for your heart's needs.
148 services97 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
136 services132 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
95 services86 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St. Agnes Hospital Hospice

Acute Care Hospitals · Fond Du Lac, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520088
Location430 E Division StFond Du Lac, WI 54935 · Fond Du Lac County
Emergency services Birthing friendly

Community Memorial Hospital

Acute Care Hospitals · Menomonee Falls, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520103
LocationW180 N8085 Town Hall RdMenomonee Falls, WI 53051 · Waukesha County
Emergency services

Froedtert Memorial Lutheran Hospital

Acute Care Hospitals · Milwaukee, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520177
Location9200 W Wisconsin AveMilwaukee, WI 53226 · Milwaukee County
Emergency services Birthing friendly

Ripon Medical Center

Critical Access Hospitals · Ripon, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521321
Location845 Parkside StRipon, WI 54971 · Fond Du Lac County
Emergency services

Waupun Memorial Hospital

Critical Access Hospitals · Waupun, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521327
Location620 W Brown StWaupun, WI 53963 · Fond Du Lac County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53226 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 20

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

Advanced Practice Midwife
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Internal Medicine (Gastroenterology)
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Emergency Medicine
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Nurse Practitioner (Pediatrics)
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Nurse Practitioner (Adult Health)
9200 W WISCONSIN AVE, DEPT OF INTERNAL MEDICINE
MILWAUKEE, WI 53226
Nurse Practitioner (Adult Health)
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Nurse Anesthetist, Certified Registered
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Physician Assistant (Medical)
9200 W WISCONSIN AVE, INTERNAL MEDICINE
MILWAUKEE, WI 53226

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 James Roth's NPI number?

The NPI number for James Roth is 1679527618. It was assigned to this individual provider in the NPPES registry on May 22, 2006.

Where is James Roth located?

James Roth practices at 9200 W Wisconsin Ave Division Of Cardiology And Electrophysiology, Milwaukee, WI 53226. The listed phone number is (414) 805-6204.

What is James Roth's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Clinical Cardiac Electrophysiology, with taxonomy code 207RC0001X.

Is James Roth enrolled in Medicare?

Yes. James 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.

What insurance does James Roth accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Network Health and Quartz list James 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.

Is James Roth affiliated with any hospitals?

According to CMS data, James Roth is affiliated with St. Agnes Hospital Hospice, Community Memorial Hospital, Froedtert Memorial Lutheran Hospital, Ripon Medical Center and Waupun Memorial Hospital.

When was this NPI record last updated?

The NPPES record for James Roth was last updated on December 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.