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Deactivated NPI 1396893061 Deactivated / Inactive NPI Male Practitioner

Dr. Michael A Roth , MD

Specialist • Novi, MI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Michael Roth has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 08, 2007
NPI Deactivation Date March 08, 2023
Total Practice Duration ~16 Years of Practice (2007 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Michael Roth, MD was a registered Specialist practicing in Novi, MI. Throughout an active medical career spanning 16 years, Dr. Roth provided care at the practice location at 42450 W 12 MILE RD STE 205 until profile deactivation on 2023-03-08.

Practice Location & Contact Primary Location

Practice Address

42450 W 12 Mile Rd Ste 205

Novi, MI 483773030

Telephone 2483476100
Fax 2483476104
Associated Practice Facility / Clinic
🏢 Michael A Roth Md Pc Facility NPI 1831190917

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Novi, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 37.1 Yrs
Regional Practice Density
5 Specialists

Practicing in Novi, MI (867 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License MI 4301028327

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 08, 2023

Record deactivated on March 08, 2023

NPI Profile Active April 11, 2008

NPI status registered as active in NPPES database

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Updated Practice Location April 11, 2008

Registered at 42450 W 12 MILE RD STE 205, NOVI, MI 483773030 (Tel: 2483476100)

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Updated Business Mailing Address April 11, 2008

Registered at 42450 W 12 MILE RD STE 205, NOVI, MI 483773030

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Provider Name / Credentials Updated April 11, 2008

Recorded as MICHAEL ROTH, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 11, 2008

Specialist (License #4301028327 in MI)

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Initial NPI Registration & Enumeration January 08, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1396893061
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 08, 2007
Last Update: April 11, 2008
Deactivation Date: March 08, 2023

Mailing Address

42450 W 12 Mile Rd Ste 205

Novi, MI 483773030

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.