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

Dr. Leslie Aileen Roth, MD

Individual provider Surgery Physician · NPI 1386764785

Dr. Leslie Aileen Roth, MD is a Colorectal Surgery (Proctology) in Providence, Rhode Island. Qualified in 2002, 24 years ago. Practices with Lifespan Physician Group Inc, a 1,125-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania and Rhode Island.

Years since qualifying
24
Licensed in
PA, RI
In the registry since
2007
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

208 Collyer St Ste 302
Providence, RI 02904-1560
Phone: (401) 553-8312
Fax: (401) 868-2306
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Colon & Rectal Surgery Physician (primary) Taxonomy 208C00000X · Licence MD12703 (RI)
Surgery Physician Taxonomy 208600000X · Licence MD429123 (PA)

Record details

NPI number1386764785
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 30, 2007
Last updated in NPPESJanuary 29, 2020
Certification dateJanuary 29, 2020

Medicare enrollment

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

Medicare specialtyCOLORECTAL SURGERY (PROCTOLOGY)
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Lifespan Physician Group Inc — 1125 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Providence