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

Mr. Jason David Roth, PA

Individual provider Physician Assistant · NPI 1508816992

Mr. Jason David Roth, PA is a Physician Assistant in Indianapolis, Indiana. Qualified in 2000, 26 years ago. Practices with Orthopaedics-Indianapolis Inc, a 353-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
26
Licensed in
IN
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

8450 NW Blvd
Indianapolis, IN 46278-1381
Phone: (317) 802-2000
Fax: (317) 802-2170
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10000474A (IN)

Record details

NPI number1508816992
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 10, 2006
Last updated in NPPESMay 16, 2024
Certification dateMay 16, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Orthopaedics-Indianapolis Inc — 353 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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