1. Home
  2. Directory
  3. Iowa
  4. Des Moines
  5. Family Medicine
  6. NPI Profile

ROSHAN SINHA MD
NPI 1225444250
Family Medicine in Des Moines, IA

Active since July 10, 2014PECOS Enrolled
97.58/100
CMS Quality Rating
1111 6TH AVE, DES MOINES, IA 50314(515) 643-8678(515) 643-5802 Get Directions Write a Review

NPPES record last updated: October 27, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Roshan Sinha Md NPPES

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

ROSHAN SINHA MD (NPI 1225444250) is an individual family medicine provider in Des Moines, Iowa, licensed in Iowa (R-09995) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS, is affiliated with Van Diest Medical Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1225444250
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameROSHAN SINHACredential: MD
Location Address1111 6TH AVEDes Moines, IA 50314-2613
Mailing Address1111 6th AveDes Moines, IA 50314-2613 · (515) 643-8678 · Fax (515) 643-5802
Phone(515) 643-8678
Fax(515) 643-5802
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 10, 2014
Last NPPES UpdateOctober 27, 2014
✔ NPI 1225444250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IA · R-09995
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.
1111 6TH AVE, Des Moines, IA 50314
Open in Google Maps ↗

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Roshan Sinha Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6507082542
PECOS Enrollment IDI20160927000170
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.

Medicare Billing Reassignment

Medicare enrollment records show Roshan Sinha reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hamilton County Public Hospital
49 mi
Rural Health
817 SHAKESPEARE AVE
Stratford, IA 50249
  • Reassigned Medicare billing, Iowa enrollment
  • Also billed through NPI 1568414118 (Iowa)
  • 70 clinicians in this Medicare group
NPI 1497957351 (515) 838-2100

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

Areas of Expertise CMS Part B claims 4

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 straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
70 services38 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.
50 services48 patients
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.
48 services33 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.

Van Diest Medical Center

Critical Access Hospitals · Webster City, IA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number161361
Location2350 Hospital DriveWebster City, IA 50595 · Hamilton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50314 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

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.

MERCY CLINICS, INC
Psychiatry & Neurology (Neurology)
1111 6TH AVE, EAST TOWER SUITE A100
DES MOINES, IA 50314
Polk County (515) 358-0011
TODD EBERLE DO
Family Medicine
1111 6TH AVE
DES MOINES, IA 50314
Polk County (515) 643-8678
JOSEPH JANSKY DO
Family Medicine
1111 6TH AVE
DES MOINES, IA 50314
Polk County (515) 612-9595
MYLES KAWAMURA DO
Emergency Medicine
1111 6TH AVE, EMERGENCY DEPARTMENT
DES MOINES, IA 50314
Polk County (515) 247-3211
DR. CODY BRUNCLIK DO
Internal Medicine
1111 6TH AVE
DES MOINES, IA 50314
Polk County (515) 643-2261
TYLER MUMM DO
Internal Medicine
1111 6TH AVE
DES MOINES, IA 50314
Polk County (515) 643-2261
DR. MITCHELL R. ERICKSON M.D.
Radiology (Neuroradiology)
1111 6TH AVE
DES MOINES, IA 50314
Polk County (515) 643-2667
DR. THERESA MARIE WAHLIG M.D.
Pediatrics (Neonatal-Perinatal Medicine)
1111 6TH AVE
DES MOINES, IA 50314
Polk County (515) 643-8409

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 Sinha's NPI number?

The NPI number for Roshan Sinha is 1225444250. It was assigned to this individual provider in the NPPES registry on July 10, 2014.

Where is Roshan Sinha located?

Roshan Sinha practices at 1111 6th Ave, Des Moines, IA 50314. The listed phone number is (515) 643-8678.

What is Roshan Sinha's specialty?

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

Is Roshan Sinha enrolled in Medicare?

Yes. Roshan Sinha is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Roshan Sinha's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roshan Sinha reassigns Medicare benefits to Hamilton County Public Hospital (Stratford, IA). The 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 Roshan Sinha's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Roshan Sinha accept?

Health plans from Ambetter Health, Ambetter from Sunflower Health Plan, Medica, Oscar Health and Oscar Insurance Company and 1 other insurer list Roshan Sinha 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 Sinha affiliated with any hospitals?

According to CMS data, Roshan Sinha is affiliated with Van Diest Medical Center.

When was this NPI record last updated?

The NPPES record for Roshan Sinha was last updated on October 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.