ISADORA ROTH M.D.
NPI 1972603553
Internal Medicine in Portland, OR
About Isadora Roth M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ISADORA ROTH M.D. (NPI 1972603553) is an individual internal medicine provider in Portland, Oregon, licensed in Oregon (MD25317) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Legacy Emanuel Medical Center, and is a graduate of Other (2001).
NPPES Registry Identity
Specialties & Licenses
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
Isadora Roth 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.
Medicare Billing Reassignments
2Medicare enrollment records show Isadora Roth reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Portland, OR 97210
- Reassigned Medicare billing, Oregon enrollment
- 1,248 clinicians in this Medicare group
Molalla, OR 97038
- Reassigned Medicare billing, Oregon enrollment
- 568 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.
Areas of Expertise CMS Part B claims 4
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Legacy Emanuel Medical Center
Acute Care Hospitals · Portland, ORLegacy Good Samaritan Medical Center
Acute Care Hospitals · Portland, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97210 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
PORTLAND, OR 97210
PORTLAND, OR 97210
PORTLAND, OR 97210
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 Isadora Roth's NPI number?
The NPI number for Isadora Roth is 1972603553. It was assigned to this individual provider in the NPPES registry on September 24, 2006.
Where is Isadora Roth located?
Isadora Roth practices at 1015 NW 22nd Ave, Portland, OR 97210. The listed phone number is (503) 413-7711.
What is Isadora Roth's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Isadora Roth enrolled in Medicare?
Yes. Isadora 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 Isadora Roth's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Isadora Roth reassigns Medicare benefits to 2 organizations: Legacy Clinics LLC (Portland, OR) and Silverton Health (Molalla, 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 Isadora Roth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Isadora Roth affiliated with any hospitals?
According to CMS data, Isadora Roth is affiliated with Legacy Emanuel Medical Center and Legacy Good Samaritan Medical Center.
When was this NPI record last updated?
The NPPES record for Isadora Roth was last updated on July 11, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Isadora Roth, M.D. · NPI 1972603553
Internal Medicine physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since September 24, 2006.
## Identity
- **NPI:** 1972603553 (Entity type: Individual)
- **Enumerated:** September 24, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** MD25317 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 1015 NW 22ND AVE, Portland, OR 97210-3025
- **Phone:** (503) 413-7711
## 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): Legacy Clinics LLC (NPI 1902827272, Portland, OR); Silverton Health (NPI 1861116055, Molalla, OR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2001
## Record status
- **NPPES last updated:** July 11, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1972603553) · Data from the CMS NPPES public registry.