Dr. Nicole Megan Roth
DPM | Podiatrist | 14+ years Exp
Medicare Enrolled
1400 28th St Ste 2, Boulder
Colorado, 80303-1096
303-449-2000 303-449-9475
Maps & DirectionsDr. Nicole Megan Roth is a Boulder, Colorado based podiatrist with 14 years of experience in Podiatry. She completed her graduation from Kent State University College Of Podiatric Medicine in 2011. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Nicole Megan Roth for Podiatry is POD.0000829 in Colorado.
Dr. Nicole Megan Roth is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. She diagnose and treat foot diseases and deformities. She can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Dr. Nicole Megan Roth speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Podiatry |
| Credentials: | DPM |
| Experience: | 14+ years |
| Medical School Attended: | Kent State University College Of Podiatric Medicine |
| Graduation Year: | 2011 |
| Gender: | Female |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 1400 28th St Ste 2, Boulder,
Colorado, 80303-1096 |
| Phone: | 303-449-2000 |
| Fax: | 303-449-9475 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 7416178983 |
| Enrollment ID: | I20190129001504 |
| NPI Number: | 1770879413 |
| NPI Enumeration Date: | 21 Jun, 2011 |
| NPI Last Update On: | 14 Jan, 2019 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Nicole Megan Roth are as mentioned below.
| License Number | Specialization | State | Status | |
| POD.0000829 | Podiatry | Colorado | Primary | |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Nicole Megan Roth is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Brian P Gradisek Dpm Pllc (3779829338) | 2 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Nicole Megan Roth such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| PR235 | Other | Florida | PODIATRIC RESIDENT |
| 9000168464 | Medicaid | Colorado | |
| PO 3661 | Other | Florida | PODIATRIC MEDICAL LICENSE |
| POD.0000829 | Other | Colorado | LICENSE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 21150,
Boulder, Colorado |
| Zip: | 80308-4150 |
| Phone Number: | 303-546-9158 |
| Fax Number: | 303-546-9107 |
Patients can reach Dr. Nicole Megan Roth at
1400 28th St Ste 2, Boulder, Colorado or can
call to book an appointment on 303-449-2000.
Comments/ Reviews:
Patients can read all the reviews posted for Dr. Nicole Megan Roth below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Dr. Nicole Megan Roth. It will help others make informed decisions.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.