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

Individual provider Family Medicine Physician · NPI 1417143553

Dr. Katherine Rae Roth, MD is a Family Practice in Macomb, Michigan. Graduated from Wayne State University School of Medicine in 2007, 19 years ago. Practices with Henry Ford Semi Medical Group, a 253-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
19
Trained at
Wayne State University School of Medicine
Licensed in
SC
In the registry since
2007
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

46401 Romeo Plank Rd Ste 4
Macomb, MI 48044-3510
Phone: (586) 226-8600
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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 LL30263 (SC)

Record details

NPI number1417143553
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 21, 2007
Last updated in NPPESNovember 19, 2012

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Henry Ford Semi Medical Group — 253 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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