DR. ROBERT B ROTH (MD) – Cardiovascular Disease Physician, NPI 1386684231
Cardiovascular Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
705 CARDIOVASCULAR DISEASE (CARDIOLOGY) in WI
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Provider Addresses for DR. ROBERT B ROTH (MD)
Columbia College of Nursing, 4425, North Port Washington Road, Grover Heights, Glendale, Milwaukee County, Wisconsin, 53212, United States
ATTN: CSMCP CLINIC CREDENTIALING
GLENDALE, WI 532121082
Phone: (414) 271-1633
Fax: (414) 271-5071
Type: Mailing
2350, North Lake Drive, Northpoint, Milwaukee, Milwaukee County, Wisconsin, 53202, United States
SUITE 400
MILWAUKEE, WI 532114528
Phone: (414) 271-1633
Fax: (414) 271-5071
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2025-06-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040128000664 | I | Interventional Cardiology | WI | TBD |
| I20250620000016 | I | Cardiovascular Disease (Cardiology) | MN | TBD |
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.
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 53212)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERVENTIONAL CARDIOLOGY | WI | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 26 | 23 |
| INTERVENTIONAL CARDIOLOGY | WI | 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 36 | 36 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| Diagnostic Radiology | WI | |
| D E R M A T O L O G Y | WI | |
| - | WI | |
| - | WI | |
| - | WI | |
| H E M A T O L O G Y/ O N C O L O G Y | WI | |
| - | WI | |
| - | WI | |
| - | WI |
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