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ROSHNY PATTATHU MD PROFESSIONAL CORPORATION
NPI 1043700776
Clinic/Center in Santa Ana, CA

Active since May 17, 2018
999 N TUSTIN AVE STE 109, SANTA ANA, CA 92705(714) 775-7700(714) 464-2222 Get Directions Write a Review

NPPES record last updated: May 17, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Roshny Pattathu Md Professional Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROSHNY PATTATHU MD PROFESSIONAL CORPORATION (NPI 1043700776) is a healthcare organization registered as a clinic/center in Santa Ana, California and active in the NPI registry since May 2018. The organization lists Roshny Pattathu, President, as its authorized official.

NPPES Registry Identity

NPI1043700776
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameROSHNY PATTATHU MD PROFESSIONAL CORPORATION
Location Address999 N TUSTIN AVE STE 109Santa Ana, CA 92705-6501
Mailing Address17 MomentoIrvine, CA 92603-4239 · (949) 425-8735 · Fax (714) 464-2222
Phone(714) 775-7700
Fax(714) 464-2222
Organization SubpartNo
Authorized OfficialRoshny PattathuPresident · (949) 425-8735
Enumeration DateMay 17, 2018
✔ NPI 1043700776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
999 N TUSTIN AVE STE 109, Santa Ana, CA 92705
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Roshny Pattathu Md Professional Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Roshny Pattathu MD Professional Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Roshny Pattathu, M.D.
Internal Medicine
NPI 1154568350
17 MOMENTO
Irvine, CA 92603
(949) 235-7243
✔ PECOS✔ Accepts Medicare8.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roshny Pattathu MD Professional Corporation's NPI number?

The NPI number for Roshny Pattathu MD Professional Corporation is 1043700776. It was assigned to this organization in the NPPES registry on May 17, 2018.

Where is Roshny Pattathu MD Professional Corporation located?

Roshny Pattathu MD Professional Corporation is located at 999 N Tustin Ave Ste 109, Santa Ana, CA 92705. The listed phone number is (714) 775-7700.

What is Roshny Pattathu MD Professional Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Roshny Pattathu MD Professional Corporation enrolled in Medicare?

Yes. Roshny Pattathu MD Professional Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Roshny Pattathu MD Professional Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Roshny Pattathu MD Professional Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Roshny Pattathu MD Professional Corporation was last updated on May 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.