KIMBERLY RAQUEL ROTH MD NPI 1538220447

NPI Information

NPI: 1538220447
Provider Name: KIMBERLY RAQUEL ROTH, MD
Classification: Pediatrics - 2080P0204X
Entity Type: Individual

Specialization: Pediatric Emergency Medicine

PECOS Registration: Yes

Address:
4401 PENN AVE
PITTSBURGH, PA
ZIP 15224
Phone: (412) 692-7692
Get Directions

Kimberly Raquel Roth, MD is a pediatric emergency medicine pediatrics in Pittsburgh, PA. The provider is a pediatrician who has special qualifications to manage emergencies in infants and children. Kimberly Raquel Roth, MD NPI is 1538220447. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4401 PENN AVE
PITTSBURGH, PA
ZIP 15224-334
Phone: (412) 692-7692
Fax: (412) 692-7464

The NPI 1538220447 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 enumeration date for this NPI number is 12/13/2006 and was last updated on 5/25/2016.

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
1	208000000X	Pediatrics		MD074363L	PENNSYLVANIA	No
2	2080P0204X	Pediatrics	Pediatric Emergency Medicine	MD430436	PENNSYLVANIA	Yes

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
1	I27173	MEDICARE UPIN

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: 4/28/2024

NPI Synchronization or Removal

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