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

Matt D Roth, MD

Individual provider Sports Medicine (Family Medicine) Physician · NPI 1457566101

Matt D Roth, MD is a Family Practice in Toledo, Ohio. Graduated from Ohio State University College of Medicine in 2004, 22 years ago. Practices with Promedica Central Physicians, a 784-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
22
Trained at
Ohio State University College of Medicine
Licensed in
OH
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

2865 N Reynolds Rd Ste 260
Toledo, OH 43615-2070
Phone: (419) 578-4280
Fax: (419) 537-5684
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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 35088737 (OH)
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X · Licence 35-088737 (OH)

Record details

NPI number1457566101
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 14, 2007
Last updated in NPPESNovember 3, 2023
Mailing address660 Beaver Creek Cir, Suite 110, Maumee, OH 43537-1745

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Promedica Central Physicians — 784 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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