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

Kevin M Roth, MD

Individual provider Orthopaedic Surgery Physician · NPI 1679778252

Kevin M Roth, MD is an Orthopedic Surgery in Palo Alto, California. Qualified in 2007, 19 years ago. Practices with Sutter Bay Medical Foundation, a 3,762-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
19
Licensed in
CA
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

795 El Camino Real
Palo Alto, CA 94301-2302
Phone: (650) 853-2951
Show map & directions

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

Additional practice locations (2)

  • 3315 Broadway, Oakland, CA 94611-5717 — (510) 486-2300
  • 2625 Shadelands Dr, Walnut Creek, CA 94598-2512 — (925) 939-8585

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X · Licence A121082 (CA)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence A121082 (CA)

Record details

NPI number1679778252
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 15, 2007
Last updated in NPPESJune 6, 2023
Certification dateDecember 9, 2020

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Also practisesSPORTS MEDICINE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Sutter Bay Medical Foundation — 3762 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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