JULIE L ROTH MD NPI 1063673713

NPI Information

  • NPI: 1063673713
  • Provider Name: JULIE L ROTH, MD
  • Classification: Psychiatry & Neurology - 2084N0600X
  • Specialization: Clinical Neurophysiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 593 EDDY ST
    APC-5
    PROVIDENCE, RI
    ZIP 02903
  • Phone: (401) 444-3032

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NPI Details

Julie L Roth, MD is a clinical neurophysiology psychiatry neurology in Providence, RI with 22 years of experience. The provider is clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). Julie L Roth, MD NPI is 1063673713. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY
Graduation Year:2004

The provider's business location address is:

593 EDDY ST
APC-5
PROVIDENCE, RI
ZIP 02903-923
Phone: (401) 444-3032
Fax: (401) 444-3205

The NPI 1063673713 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Electrocardiogram (ecg) 1 to 3 leads with review by physician only (HCPCS:93042)
  • Measurement of brain wave activity (eeg), awake and drowsy (HCPCS:95816)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Measurement of brain wave activity with video (veeg), 12-26 hours with review and report by health care professional (HCPCS:95720)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Measurement of brain wave activity with video (veeg), 2-12 hours with review and report by health care professional (HCPCS:95718)
  • Measurement of brain wave activity (eeg), awake and asleep (HCPCS:95819)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)

The enumeration date for this NPI number is 6/24/2008 and was last updated on 12/18/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084N0600XPsychiatry & NeurologyClinical NeurophysiologyMD12830RHODE ISLANDYes
22084N0400XPsychiatry & NeurologyNeurologyMD12830RHODE ISLANDNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11063673713MEDICAIDRHODE ISLAND
2110084239AMEDICAIDMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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