DR. ROSHAN PAIS M.D.
NPI 1154521979
Internal Medicine in Berea, KY

Q: What is Roshan Pais's NPI number?

The NPI number for Roshan Pais is 1154521979. It was assigned to this individual provider in the NPPES registry on July 19, 2007.

Q: What is Roshan Pais's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Roshan Pais was last updated on December 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since July 19, 2007PECOS EnrolledAccepts Medicare Assignment

95.5/100

CMS Quality Rating

305 ESTILL ST, HOSPITALIST DEPT, BEREA, KY 40403(859) 986-2344(859) 986-6768 Get Directions Write a Review

NPPES record last updated: December 7, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Roshan Pais M.d. NPPES

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

DR. ROSHAN PAIS M.D. (NPI 1154521979) is an individual internal medicine provider in Berea, Kentucky, licensed in Kentucky (41187) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Richmond, and maintains a secondary practice location in Richmond.

NPPES Registry Identity

NPI1154521979

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. ROSHAN PAISCredential: M.D.

Location Address305 ESTILL ST, HOSPITALIST DEPTBerea, KY 40403-1742

Mailing Address100 E Liberty St, Ste 800Louisville, KY 40202-1434 · (859) 986-2344 · Fax (859) 986-6768

Phone(859) 986-2344

Fax(859) 986-6768

Sole ProprietorNo

Medical School CMSOtherGraduated 1996

Enumeration DateJuly 19, 2007

Last NPPES UpdateDecember 7, 2020

NPPES CertifiedDecember 7, 2020

✔ NPI 1154521979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in KY · 41187✔ Licensed in OH · 090370

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

305 ESTILL ST, Berea, KY 40403

Open in Google Maps ↗

Secondary Practice Location 1

Location 1801 Eastern BypRichmond, KY 40475-2751 · Phone (859) 625-3603

Other Identifiers 2

Medicaid7100021370KY

OtherP00466697KY · Medicare Railroad

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

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

Dr. Roshan Pais M.d. 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 ID6204923220

PECOS Enrollment IDI20071107000360

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 6

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.

306 services126 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.

136 services131 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

76 services75 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.

68 services65 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.

60 services37 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.

23 services23 patients

Hospital Affiliations CMS Care Compare

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

Baptist Health Richmond

Acute Care Hospitals · Richmond, KY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180049

Location801 Eastern BypassRichmond, KY 40475 · Madison County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40403 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

$122.77 typical visit price

range $52.76 – $162.27

Typical copayment $30.69 (range $13.19 – $40.56)

Most-billed visit code 99204

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

95.5/100

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

Scored through an Alternative Payment Model

Quality

89.59

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 6

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

Tracheal suction catheter, any type other than closed system, each A4624

DME-Other DME · category DE000N

1 supplier11 claims330 services$1.73 avg. paid by Medicare

Canister, disposable, used with suction pump, each A7000

DME-Other DME · category DE000N

1 supplier11 claims11 services$5.63 avg. paid by Medicare

Tubing, used with suction pump, each A7002

DME-Other DME · category DE000N

1 supplier11 claims13 services$2.17 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

2 suppliers12 claims13 services$1.54 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

4 suppliers46 claims47 services$19.50 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers34 claims34 services$107.06 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.

DR. DASEN R RITCHEY M.D.

Surgery

305 ESTILL ST
BEREA, KY 40403

Madison County (859) 986-3151

MS. JILLISA D HAWK ARNP

Nurse Practitioner (Family)

305 ESTILL ST
BEREA, KY 40403

Madison County (859) 986-9521

SAINT JOSEPH MEDICAL FOUNDATION, INC

Urology

305 ESTILL ST, 3RD FLOOR
BEREA, KY 40403

Madison County (859) 985-8100

REBECCA BRANDENBURG APRN- CNP

Nurse Practitioner (Psychiatric/Mental Health)

305 ESTILL ST
BEREA, KY 40403

Madison County (859) 985-1415

SAINT JOSEPH MEDICAL FOUNDATION, INC

Otolaryngology

305 ESTILL ST, 3RD FLOOR
BEREA, KY 40403

Madison County (859) 986-6791

SAINT JOSEPH MEDICAL FOUNDATION, INC

Internal Medicine

305 ESTILL ST
BEREA, KY 40403

Madison County (859) 986-3151

PAMELA RENAE FUGATE APRN

Nurse Practitioner (Family)

305 ESTILL ST
BEREA, KY 40403

Madison County (859) 985-1415

VICKI LOU HACKMAN MD

Family Medicine

305 ESTILL ST
BEREA, KY 40403

Madison County (859) 985-1415

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 Pais's NPI number?

The NPI number for Roshan Pais is 1154521979. It was assigned to this individual provider in the NPPES registry on July 19, 2007.

Where is Roshan Pais located?

Roshan Pais practices at 305 Estill St Hospitalist Dept, Berea, KY 40403. The listed phone number is (859) 986-2344.

What is Roshan Pais's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Roshan Pais enrolled in Medicare?

Yes. Roshan Pais 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.

What insurance does Roshan Pais accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Roshan Pais as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Roshan Pais affiliated with any hospitals?

According to CMS data, Roshan Pais is affiliated with Baptist Health Richmond.

When was this NPI record last updated?

The NPPES record for Roshan Pais was last updated on December 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.