Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ROSHNIBEN PATEL MD
NPI 1073019907
Internal Medicine - Rheumatology in Madison, WI

Q: What is Roshniben Patel's NPI number?

The NPI number for Roshniben Patel is 1073019907. It was assigned to this individual provider in the NPPES registry on March 31, 2018.

Q: What is Roshniben Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Q: When was this NPI record last updated?

The NPPES record for Roshniben Patel was last updated on June 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 53 days 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.

Active since March 31, 2018PECOS EnrolledAccepts Medicare Assignment

72.86/100

CMS Quality Rating

600 HIGHLAND AVE, MADISON, WI 53792(608) 263-6400 Get Directions Write a Review

NPPES record last updated: June 21, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 14, 2021, Mar 31, 2018 (2 updates tracked since 2018).

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About Roshniben Patel Md NPPES

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

ROSHNIBEN PATEL MD (NPI 1073019907) is an individual rheumatology provider in Madison, Wisconsin, licensed in Wisconsin (87528-20) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with Saint Agnes Hospital, and maintains a secondary practice location in Baltimore.

NPPES Registry Identity

NPI1073019907

Entity TypeIndividualFemale

Primary Taxonomy207RR0500X

Provider Legal NameROSHNIBEN PATELCredential: MD

Location Address600 HIGHLAND AVEMadison, WI 53792-0001

Mailing Address600 Highland AveMadison, WI 53792-0001

Phone(608) 263-6400

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateMarch 31, 2018

Last NPPES UpdateJune 21, 20262 updates tracked since enumeration

NPPES CertifiedJune 21, 2026

✔ NPI 1073019907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians

Taxonomy Code207RR0500X

License✔ Licensed in WI · 87528-20

Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

Also ListedInternal MedicineTaxonomy 207R00000X · License D91187 (MD)

600 HIGHLAND AVE, Madison, WI 53792

Open in Google Maps ↗

Secondary Practice Location 1

Location 1900 S Caton AveBaltimore, MD 21229-5201 · Phone (667) 234-5724

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Roshniben Patel Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8426457904

PECOS Enrollment IDI20210603001999

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

494 services197 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

122 services121 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

110 services71 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

63 services62 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

32 services32 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint Agnes Hospital

Acute Care Hospitals · Baltimore, MD

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number210011

Location900 Caton AvenueBaltimore, MD 21229 · Baltimore City County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53792 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

72.86/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

60.18

Promoting Interoperability

Improvement Activities

Cost

48.84

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JASON ALAN CHRISTENSEN PHARMD

Pharmacist

600 HIGHLAND AVE, COMPLIANCE MAIL CODE 2433
MADISON, WI 53792

Dane County (608) 662-0817

LAURA JEAN KOPPLIN MD, PHD

Ophthalmology