Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. LINDA ROETHEL M.D.
NPI 1801881677
Family Medicine in Oceanside, NY

Q: What is Linda Roethel's NPI number?

The NPI number for Linda Roethel is 1801881677. It was assigned to this individual provider in the NPPES registry on September 16, 2005.

Q: What is Linda Roethel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Linda Roethel was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.

Active since September 16, 2005PECOS Enrolled

196 MERRICK RD, OCEANSIDE, NY 11572(516) 255-1616(516) 255-4672 Get Directions Write a Review

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

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About Dr. Linda Roethel M.d. NPPES

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

DR. LINDA ROETHEL M.D. (NPI 1801881677) is an individual family medicine provider in Oceanside, New York, licensed in New York (184344) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS, is affiliated with Mount Sinai South Nassau, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1801881677

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. LINDA ROETHELCredential: M.D.

Location Address196 MERRICK RDOceanside, NY 11572-1420

Mailing Address1 Healthy Way, Attn: Physician Billing DeptOceanside, NY 11572-1551 · (516) 255-1600 · Fax (516) 255-4672

Phone(516) 255-1616

Fax(516) 255-4672

Sole ProprietorNo

Medical School CMSOtherGraduated 1988

Enumeration DateSeptember 16, 2005

Last NPPES UpdateJuly 13, 2026

✔ NPI 1801881677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NY · 184344

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

196 MERRICK RD, Oceanside, NY 11572

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Other Identifiers 12

Medicaid01425149NY

Other184344NY · Hip

OtherGP160NY · Oxford

Other000000071571NY · Ghi Hmo

Other5903664NY · Ghi Ppo

Other0D4451NY · Bcbs

Other5022479NY · Aetna Ppo

Other5782299NY · Cigna

OtherAA71640NY · Mdny

Other1000021935NY · Affinity

Other2C9292NY · Healthnet

Other519648NY · Aetna Hmo

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. Linda Roethel M.d. 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 ID6507998531

PECOS Enrollment IDI20100709000553

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 2

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.

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.

21 services16 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.

14 services14 patients

Hospital Affiliations CMS Care Compare

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

Mount Sinai South Nassau

Acute Care Hospitals · Oceanside, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330198

LocationOne Healthy WayOceanside, NY 11572 · Nassau County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11572 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier11 claims11 services$185.12 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

MARY KRISTINE ELLIS M.D.

Family Medicine