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

Dr. John G Roth, MD

Individual provider Procedural Dermatology Physician · NPI 1134193212

Dr. John G Roth, MD is a Dermatology in Lexington, Kentucky. Graduated from University of Louisville School of Medicine in 1988, 38 years ago. Practices with Modern Dermatology of Kentucky LLC, a 14-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
38
Trained at
University of Louisville School of Medicine
Licensed in
KY
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

177 Burt Rd
Lexington, KY 40503-2410
Phone: (859) 276-1511
Fax: (859) 276-3373
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Procedural Dermatology Physician (primary) Taxonomy 207NS0135X · Licence 28647 (KY)
Dermatology Physician Taxonomy 207N00000X · Licence 28647 (KY)

Record details

NPI number1134193212
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 15, 2006
Last updated in NPPESJanuary 6, 2009

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduated 1988 (38 years in practice)
Group practice Modern Dermatology Of Kentucky Llc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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