EYAN ROTH – Family Medicine Physician, NPI 1689241440

EYAN ROTH is a healthcare provider. based in Hesston, Kansas. specializing in FAMILY PRACTICE. They hold a License No. 04-49796 (KS). The NPI Number for EYAN ROTH is 1689241440

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
EYAN ROTH
NPI
1689241440
Phone
(620) 327-2440
Address
705 E RANDALL ST
Enumeration Date
9 June 2021
Last Update Date
29 August 2024

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
6203272440
Graduation Year
2021 (5 years ago)
PAC ID
7113321340
Group Practice PAC ID
5294646477
Professional Enrollment ID
I20241007000932
Address ID
KS670628806HE705XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

1,421 FAMILY PRACTICE in KS

Provider Addresses for EYAN ROTH

  • 705 E RANDALL ST

    HESSTON, KS 670628806

    Phone: (620) 327-2440

    Type: Mailing

  • 1010 N KANSAS ST

    WICHITA, KS 672143124

    Phone: (316) 293-2665

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $129.

Total Amount is formed as General ($129) + Research ($0) + Ownership ($0) = $129.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Baxter Healthcare ($30).

Total Amount

$129

General + Research + Ownership

Payments

6

Total payment records

General Amount

$129

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-10-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241007000932IFamily PracticeKSTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 67062)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5294646477View full group profile
NameSpecialtyState
Emergency MedicineOH
Nurse PractitionerKS
Nurse PractitionerKS
Family PracticeKS
-KS
Nurse PractitionerKS
Hospitalist, Family PracticeKS
General Surgery, Undersea And Hyperbaric MedicineKS
Hospitalist, Internal MedicineKS
Physician AssistantNY

Reviews

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Frequently asked questions

What is the 10-digit NPI for EYAN ROTH?
EYAN ROTH — NPI 1689241440 — is the standard way to identify this listing.
Is EYAN ROTH still practicing?
EYAN ROTH is currently listed as active in the public NPI registry.
What healthcare role does EYAN ROTH hold?
Scheduling teams often label EYAN ROTH under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does EYAN ROTH serve?
EYAN ROTH's listing highlights Hesston, Kansas; more addresses can appear in NPPES.
Why does EYAN ROTH have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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