KEVIN M ROTH M.D. NPI 1679778252

NPI Information

  • NPI: 1679778252
  • Provider Name: KEVIN M ROTH, M.D.
  • Classification: Orthopaedic Surgery - 207XX0005X
  • Specialization: Sports Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 795 EL CAMINO REAL
    PALO ALTO, CA
    ZIP 94301
  • Phone: (650) 853-2951

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NPI Details

Kevin M Roth, M.D. is a sports medicine orthopaedic surgery in Palo Alto, CA with 18 years of experience. The provider is an orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. Kevin M Roth, M.D. NPI is 1679778252. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

795 EL CAMINO REAL
PALO ALTO, CA
ZIP 94301-302
Phone: (650) 853-2951

The NPI 1679778252 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.

  • Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg (HCPCS:J7328)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Aspiration and/or injection of fluid large joint using ultrasound guidance (HCPCS:20611)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg (HCPCS:J0702)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Mri scan of leg joint without contrast (HCPCS:73721)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Treatment of broken neck of thigh bone with bone implant (HCPCS:27245)
  • Knee replacement (HCPCS:NAN06)
  • Lower limb (leg) arthroscopy (minimally invasive joint repair) (HCPCS:NAN15)
  • Upper limb (arm) arthroscopy (minimally invasive joint repair) (HCPCS:NAN17)

The enumeration date for this NPI number is 6/15/2007 and was last updated on 6/6/2023.

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
1207X00000XOrthopaedic SurgeryA121082CALIFORNIANo
2207XX0005XOrthopaedic SurgerySports MedicineA121082CALIFORNIAYes

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: 3/30/2025

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