Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Benjamin H Roth, DO

Individual provider Family Medicine Physician · NPI 1215341417

Benjamin H Roth, DO is a Family Practice in Grand Forks, North Dakota. Graduated from Kansas City University of Physicians and Surgeons in 2014, 12 years ago. Practices with Altru Health System, a 667-clinician group and accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
12
Trained at
Kansas City University of Physicians and Surgeons
Licensed in
ND
In the registry since
2014
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

860 S Columbia Rd
Grand Forks, ND 58201
Phone: (701) 780-5000
Fax: (701) 780-6860
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 14214 (ND)
Family Medicine Physician Taxonomy 207Q00000X · Licence RL13307 (ND)

Record details

NPI number1215341417
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 16, 2014
Last updated in NPPESJuly 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolKANSAS CITY UNIVERSITY OF PHYSICIANS AND SURGEONS
Graduated 2014 (12 years in practice)
Group practice Altru Health System — 667 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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