Kyle Roth, NP is a
Family Medicine physician based in Downey, Idaho. Kyle Roth is licensed to practice in Idaho (license number 4271998) and his current practice location is 79 N Main St, Downey, Idaho. He can be reached at his office (for appointments etc.) via phone at
(208) 232-7862.
NPI number for Kyle Roth is 1659238822 and his current mailing address is 500 S 11th Ave Ste 400, Pocatello, Idaho. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1659238822.
Physician's Profile
| Full Name | Kyle Roth |
|---|
| Gender | Male |
|---|
| Speciality | Family Medicine |
|---|
| Location | 79 N Main St, Downey, Idaho |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1659238822
- Provider Enumeration Date: 01/08/2026
- Last Update Date: 01/08/2026
Medical Identifiers
Medical identifiers for Kyle Roth such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659238822 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 4271998 (Idaho) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kyle Roth is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kyle Roth, NP
500 S 11th Ave Ste 400,
Pocatello, ID 83201-4880
Ph: (208) 232-7862 | Kyle Roth, NP
79 N Main St,
Downey, ID 83234-4703
Ph: (208) 232-7862 |
Reviews and Comments