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MR. SAMUEL KLEIN ROTH PA
NPI 1700827268
Physician Assistant - Medical in Cary, NC

Active since June 08, 2006PECOS Enrolled
105 SW CARY PKWY, SUITE 300, CARY, NC 27511(919) 467-3203(919) 459-5401 Get Directions Write a Review

NPPES record last updated: October 13, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Samuel Klein Roth Pa NPPES

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

MR. SAMUEL KLEIN ROTH PA (NPI 1700827268) is an individual medical provider in Cary, North Carolina, licensed in North Carolina (101361) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700827268
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. SAMUEL KLEIN ROTHCredential: PA
Location Address105 SW CARY PKWY, SUITE 300Cary, NC 27511-5600
Mailing Address105 Sw Cary Pkwy, Suite 300Cary, NC 27511-5600 · (919) 467-3203 · Fax (919) 459-5401
Phone(919) 467-3203
Fax(919) 459-5401
Sole ProprietorNo
Enumeration DateJune 8, 2006
Last NPPES UpdateOctober 13, 2010
✔ NPI 1700827268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NC · 101361
105 SW CARY PKWY, Cary, NC 27511
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Other Identifiers 2

Medicare UPINR34510NC
Medicare PIN2744519KNC

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Samuel Klein Roth Pa 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.

Other Providers at the Same Location NPPES 2

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

WAKE OPHTHALMOLOGY ASSOCIATES, PA
Specialist
105 SW CARY PKWY, SUITE 200
CARY, NC 27511
Wake County (919) 467-4500
DR. JOHN THOMAS WARD
Specialist
105 SW CARY PKWY, SUITE 200
CARY, NC 27511
Wake County (919) 467-4500

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 Samuel Roth's NPI number?

The NPI number for Samuel Roth is 1700827268. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is Samuel Roth located?

Samuel Roth practices at 105 SW Cary Pkwy Suite 300, Cary, NC 27511. The listed phone number is (919) 467-3203.

What is Samuel Roth's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Samuel Roth enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Samuel Roth was last updated on October 13, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.