RONALD MATTHEW ROTH (MD) – Cardiovascular Disease Physician, NPI 1497795389

RONALD MATTHEW ROTH (MD) is a healthcare provider. based in Las vegas, Nevada. specializing in Cardiovascular Disease Physician. They hold the professional credentials MD. They hold a License No. 5162 (NV). The NPI Number for RONALD MATTHEW ROTH (MD) is 1497795389

Main info

Male
51 Years Of Experience
Accepts Medicare Assignment
Name
RONALD MATTHEW ROTH (MD)
NPI
1497795389
Phone
(702) 258-1601
Address
700 SHADOW LN STE 166
Enumeration Date
7 June 2006
Last Update Date
29 August 2025

Doctor Profile

Medical School Name
CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7022581601
Graduation Year
1975 (51 years ago)
PAC ID
4688614852
Group Practice PAC ID
5698751576
Professional Enrollment ID
I20100414000635
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness85
Years active:20State licenses:2Digital endpointsOther names

Provider Addresses for RONALD MATTHEW ROTH (MD)

  • 700 SHADOW LN STE 166

    LAS VEGAS, NV 891064158

    Phone: (702) 258-1601

    Fax: (702) 870-1995

    Type: Mailing

  • PO BOX 1535

    PAROWAN, UT 847611535

    Phone: (702) 218-5374

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2024-11-18 • Largest payer in this snapshot: PFIZER INC. ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-18

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
PFIZER INC.$18
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: 2010-04-14

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
I20100414000635ICardiovascular Disease (Cardiology)NVTBD

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 89106)

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Provider's Procedures

RONALD MATTHEW ROTH (MD) performs procedures in Cardiovascular Disease Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)NV78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies174171

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: 5698751576View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)NV
Cardiovascular Disease (Cardiology)NV

Reviews

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Frequently asked questions

What is the 10-digit NPI for RONALD MATTHEW ROTH (MD)?
RONALD MATTHEW ROTH (MD) — NPI 1497795389 — is the standard way to identify this listing.
Is RONALD MATTHEW ROTH (MD) listed as active for patients and plans?
The listing shows RONALD MATTHEW ROTH (MD) as active in the NPI system.
What is RONALD MATTHEW ROTH (MD) best known for clinically?
Directory data describes RONALD MATTHEW ROTH (MD) with Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
Where should I expect RONALD MATTHEW ROTH (MD) on a map?
Expect Las Vegas, Nevada as a primary anchor for RONALD MATTHEW ROTH (MD) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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