ROSHAN KARKI MD
NPI 1104057165
Internal Medicine - Clinical Cardiac Electrophysiology in Rochester, NY

Active since August 06, 2009PECOS EnrolledAccepts Medicare Assignment
95.19/100
CMS Quality Rating
1415 PORTLAND AVE STE 350, ROCHESTER, NY 14621(585) 442-5320(585) 442-5526 Get Directions Write a Review

NPPES record last updated: July 13, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 13, 2022, Nov 5, 2021, Aug 6, 2020 and 1 more (4 updates tracked since 2019).

About Roshan Karki Md NPPES

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

ROSHAN KARKI MD (NPI 1104057165) is an individual clinical cardiac electrophysiology provider in Rochester, New York, licensed in New York (004049) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS, is affiliated with United Memorial Medical Center, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1104057165
Entity TypeIndividualMale
Primary Taxonomy207RC0001X
Provider Legal NameROSHAN KARKICredential: MD
Location Address1415 PORTLAND AVE STE 350Rochester, NY 14621-3043
Mailing Address100 Kings Hwy SRochester, NY 14617-5504 · (585) 442-5320 · Fax (585) 442-5526
Fax(585) 442-5526
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateAugust 6, 2009
Last NPPES UpdateJuly 13, 20224 updates tracked since enumeration
NPPES CertifiedJuly 13, 2022
NPI 1104057165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyInternal Medicine · Clinical Cardiac ElectrophysiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RC0001X
Licenses Licensed in NY · 004049 Licensed in MN · 65546
Definition
A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.
Also ListedInternal MedicineTaxonomy 207R00000X · License 004049 (NY)
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 65546 (MN), 274599 (NY)
Also ListedHospitalistTaxonomy 208M00000X · License 004049 (NY)
1415 PORTLAND AVE STE 350, Rochester, NY 14621

Secondary Practice Locations 4

Location 130 Hagen DrRochester, NY 14625-2658 · Phone (585) 442-5320 · Fax (585) 442-5526
Location 22365 S Clinton Ave Ste 100Rochester, NY 14618-2663 · Phone (585) 442-5320 · Fax (585) 442-5526
Location 31425 Portland AveRochester, NY 14621-3001 · Phone (585) 922-5067 · Fax (585) 922-2908
Location 4101 Canal Landing BlvdRochester, NY 14626-5109 · Phone (585) 293-7300 · Fax (585) 227-7723

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

Roshan Karki 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 ID5799941829
PECOS Enrollment IDI20120718000323
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 9

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.

Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294
This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.
67 services43 patients
Evaluation of cardiac rhythm monitor system, remote up to 30 days 93298
This procedure involves remotely monitoring your heart rhythm for up to 30 days. A small device will record your heart's activity, which can be accessed by your healthcare team. This aids in diagnosing any irregularities or issues with your heart function.
46 services20 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
43 services37 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
39 services33 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
20 services17 patients
Evaluation of implantable heart and blood vessel monitoring system, remote up to 30 days 93297
This service involves remotely monitoring your heart and blood vessel implant system for up to 30 days. Using advanced technology, healthcare professionals can track the device's performance and your health status, ensuring the system is working optimally for your needs.
18 services13 patients

Hospital Affiliations CMS Care Compare 3

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

United Memorial Medical Center

Acute Care Hospitals · Batavia, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330073
Location127 North StreetBatavia, NY 14020 · Genesee County
Emergency services Birthing friendly

Rochester General Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330125
Location1425 Portland AvenueRochester, NY 14621 · Monroe County
Emergency services Birthing friendly

Unity Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330226
Location1555 Long Pond RoadRochester, NY 14626 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14621 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

95.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality70.62
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 13

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

Physician Assistant (Medical)
1415 PORTLAND AVE STE 350
ROCHESTER, NY 14621
Internal Medicine (Cardiovascular Disease)
1415 PORTLAND AVE STE 350
ROCHESTER, NY 14621
Nurse Practitioner (Acute Care)
1415 PORTLAND AVE STE 350
ROCHESTER, NY 14621
Internal Medicine (Cardiovascular Disease)
1415 PORTLAND AVE STE 350
ROCHESTER, NY 14621
Nurse Practitioner (Adult Health)
1415 PORTLAND AVE STE 350
ROCHESTER, NY 14621
Internal Medicine (Interventional Cardiology)
1415 PORTLAND AVE STE 350
ROCHESTER, NY 14621
Nurse Practitioner (Gerontology)
1415 PORTLAND AVE STE 350
ROCHESTER, NY 14621
Internal Medicine (Cardiovascular Disease)
1415 PORTLAND AVE STE 350
ROCHESTER, NY 14621

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 Roshan Karki's NPI number?

The NPI number for Roshan Karki is 1104057165. It was assigned to this individual provider in the NPPES registry on August 6, 2009.

Where is Roshan Karki located?

Roshan Karki practices at 1415 Portland Ave Ste 350, Rochester, NY 14621. The listed phone number is (585) 442-5320.

What is Roshan Karki's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Clinical Cardiac Electrophysiology, with taxonomy code 207RC0001X.

Is Roshan Karki enrolled in Medicare?

Yes. Roshan Karki is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Roshan Karki affiliated with any hospitals?

According to CMS data, Roshan Karki is affiliated with United Memorial Medical Center, Rochester General Hospital and Unity Hospital.

When was this NPI record last updated?

The NPPES record for Roshan Karki was last updated on July 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.