1. Home
  2. Directory
  3. New Mexico
  4. Albuquerque
  5. Internal Medicine
  6. NPI Profile

ROSEMINA PATEL MD
NPI 1245726819
Internal Medicine in Albuquerque, NM

Active since July 07, 2018PECOS EnrolledAccepts Medicare Assignment
1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131(505) 277-0111 Get Directions Write a Review

NPPES record last updated: January 26, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 26, 2023, Jun 5, 2021, Jul 7, 2018 (3 updates tracked since 2018).

About Rosemina Patel Md NPPES

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

ROSEMINA PATEL MD (NPI 1245726819) is an individual internal medicine provider in Albuquerque, New Mexico, licensed in New Mexico (MD2023-0027) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS, is affiliated with Presbyterian Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1245726819
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameROSEMINA PATELCredential: MD
Location Address1 UNIVERSITY OF NEW MEXICOAlbuquerque, NM 87131-0001
Mailing Address1 University Of New MexicoAlbuquerque, NM 87131-0001
Phone(505) 277-0111
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 7, 2018
Last NPPES UpdateJanuary 26, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2023
✔ NPI 1245726819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NM · MD2023-0027
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.
1 UNIVERSITY OF NEW MEXICO, Albuquerque, NM 87131
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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

Rosemina 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 ID42670739
PECOS Enrollment IDI20230712004406
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 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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
123 services70 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.
104 services79 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
51 services51 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
27 services27 patients

Hospital Affiliations CMS Care Compare

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

Presbyterian Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320021
Location1100 Central Avenue SEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87131 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
$126.21 typical visit price
range $54.26 – $166.80
Typical copayment $31.55 (range $13.56 – $41.70)
Most-billed visit code 99204
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

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. JOSHUA OKORO-SOKOH MD
Student in an Organized Health Care Education/Training Program
1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-2345
SHREYA NUGURI
Student in an Organized Health Care Education/Training Program
1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-4161
DEVIN ALEXANDER MAEZ MD
Student in an Organized Health Care Education/Training Program
1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-4661
DR. KATHRYN ANNE CERAMI DO
Student in an Organized Health Care Education/Training Program
1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (979) 492-0011
RAEHANNA ABDULNASSER AHMED DO
Student in an Organized Health Care Education/Training Program
1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-8244
MICHAEL JOSHUA FOX DO
Radiology (Diagnostic Radiology)
1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-0932
JESSICA MCALLISTER MD
Student in an Organized Health Care Education/Training Program
1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-5580
FRANCISCO JAIME
Anesthesiology
1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-2610

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 Rosemina Patel's NPI number?

The NPI number for Rosemina Patel is 1245726819. It was assigned to this individual provider in the NPPES registry on July 7, 2018.

Where is Rosemina Patel located?

Rosemina Patel practices at 1 University Of New Mexico, Albuquerque, NM 87131. The listed phone number is (505) 277-0111.

What is Rosemina Patel's specialty?

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

Is Rosemina Patel enrolled in Medicare?

Yes. Rosemina 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.

What insurance does Rosemina Patel accept?

Health plans from UnitedHealthcare list Rosemina Patel 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 Rosemina Patel affiliated with any hospitals?

According to CMS data, Rosemina Patel is affiliated with Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Rosemina Patel was last updated on January 26, 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.