ROSHNI PATEL MD
NPI 1104352467
Family Medicine in Johnson City, NY

Active since May 05, 2017PECOS EnrolledAccepts Medicare Assignment
99.95/100
CMS Quality Rating
507 MAIN ST, JOHNSON CITY, NY 13790(607) 763-6075 Get Directions Write a Review

NPPES record last updated: January 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Roshni Patel Md NPPES

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

ROSHNI PATEL MD (NPI 1104352467) is an individual family medicine provider in Johnson City, New York, licensed in New York (306594) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, is affiliated with Jamaica Hospital Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1104352467
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameROSHNI PATELCredential: MD
Location Address507 MAIN STJohnson City, NY 13790-1810
Mailing Address507 Main StJohnson City, NY 13790-1810 · (607) 763-6075
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateMay 5, 2017
Last NPPES UpdateJanuary 18, 2023
NPPES CertifiedJanuary 18, 2023
NPI 1104352467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NY · 306594
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
507 MAIN ST, Johnson City, NY 13790

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

Roshni 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 ID7416290572
PECOS Enrollment IDI20210118000040
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

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.

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.
57 services21 patients

Hospital Affiliations CMS Care Compare

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

Jamaica Hospital Medical Center

Acute Care Hospitals · Jamaica, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330014
Location89th Avenue And Van Wyck ExpresswayJamaica, NY 11418 · Queens County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13790 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
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.

99.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.18
Promoting Interoperability79
Improvement Activities40
Cost92.82

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$185.12 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Student in an Organized Health Care Education/Training Program
507 MAIN ST
JOHNSON CITY, NY 13790
Family Medicine
507 MAIN ST
JOHNSON CITY, NY 13790
Student in an Organized Health Care Education/Training Program
507 MAIN ST
JOHNSON CITY, NY 13790
Dietitian, Registered
507 MAIN ST
JOHNSON CITY, NY 13790
Social Worker (Clinical)
507 MAIN ST
JOHNSON CITY, NY 13790
Student in an Organized Health Care Education/Training Program
507 MAIN ST
JOHNSON CITY, NY 13790
Family Medicine
507 MAIN ST
JOHNSON CITY, NY 13790
Family Medicine
507 MAIN ST
JOHNSON CITY, NY 13790

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 Roshni Patel's NPI number?

The NPI number for Roshni Patel is 1104352467. It was assigned to this individual provider in the NPPES registry on May 5, 2017.

Where is Roshni Patel located?

Roshni Patel practices at 507 Main St, Johnson City, NY 13790. The listed phone number is (607) 763-6075.

What is Roshni Patel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Roshni Patel enrolled in Medicare?

Yes. Roshni Patel 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 Roshni Patel affiliated with any hospitals?

According to CMS data, Roshni Patel is affiliated with Jamaica Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Roshni Patel was last updated on January 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.