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DR. ROSHANI PATEL
NPI 1265853154
Internal Medicine in Bristol, CT

Active since December 19, 2013PECOS Enrolled
665 TERRYVILLE AVE, UNIT 2, BRISTOL, CT 06010(860) 261-5217(860) 261-5525 Get Directions Write a Review

NPPES record last updated: April 19, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 19, 2024, Dec 23, 2018, Mar 16, 2016 (3 updates tracked since 2016).

About Dr. Roshani Patel NPPES

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

DR. ROSHANI PATEL (NPI 1265853154) is an individual internal medicine provider in Bristol, Connecticut, licensed in Connecticut (55016) and active in the NPI registry since December 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1265853154
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. ROSHANI PATEL
Location Address665 TERRYVILLE AVE, UNIT 2Bristol, CT 06010-4078
Mailing Address665 Terryville Ave, Unit 2Bristol, CT 06010-4078 · (860) 261-5217 · Fax (860) 261-5525
Phone(860) 261-5217
Fax(860) 261-5525
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateDecember 19, 2013
Last NPPES UpdateApril 19, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2023
✔ NPI 1265853154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CT · 55016
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.
Also ListedHospitalistTaxonomy 208M00000X · License 55016 (CT)
665 TERRYVILLE AVE, UNIT 2, Bristol, CT 06010
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Roshani Patel is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9830407071
PECOS Enrollment IDI20160505000467
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 Reassignments

6

Medicare enrollment records show Roshani Patel reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bristol Primary Care LLC
Same address
Internal Medicine
665 TERRYVILLE AVE UNIT 2
Bristol, CT 06010
  • Reassigned Medicare billing, Connecticut enrollment
  • 3 clinicians in this Medicare group
NPI 1588385504 (860) 261-5217
Uconn Health Community Network Medical Group, Inc.
9.5 mi
Family Medicine
64 ROBBINS ST
Waterbury, CT 06708
  • Reassigned Medicare billing, Connecticut enrollment
  • 152 clinicians in this Medicare group
NPI 1548119522 (203) 573-7280
The Hospital Of Central Connecticut At New Britain General And Bradley
9.7 mi
General Acute Care Hospital
100 GRAND ST
New Britain, CT 06052
  • Reassigned Medicare billing, Connecticut enrollment
  • 745 clinicians in this Medicare group
NPI 1053477075 (860) 224-5011
Midstate Medical Center
13 mi
General Acute Care Hospital
435 LEWIS AVE
Meriden, CT 06451
  • Reassigned Medicare billing, Connecticut enrollment
  • 505 clinicians in this Medicare group
NPI 1154425288 (860) 696-6287
Hartford Healthcare Medical Group Specialists, PLLC
16 mi
Surgery
85 SEYMOUR ST STE 415
Hartford, CT 06106
  • Reassigned Medicare billing, Connecticut enrollment
  • 1,921 clinicians in this Medicare group
NPI 1023584216 (860) 246-2071
Prospect Ct Medical Foundation, Inc.
24 mi
Family Medicine
71 HAYNES ST, MILLER BLDG., FLOOR G
Manchester, CT 06040
  • Reassigned Medicare billing, Connecticut enrollment
  • 422 clinicians in this Medicare group
NPI 1144677568 (860) 533-2981

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 5

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.
32 services19 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.
30 services30 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
28 services28 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.
19 services19 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06010 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers16 claims16 services$12.63 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 suppliers20 claims20 services$62.42 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Roshani Patel's NPI number?

The NPI number for Roshani Patel is 1265853154. It was assigned to this individual provider in the NPPES registry on December 19, 2013.

Where is Roshani Patel located?

Roshani Patel practices at 665 Terryville Ave, Unit 2, Bristol, CT 06010. The listed phone number is (860) 261-5217.

What is Roshani Patel's specialty?

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

Is Roshani Patel enrolled in Medicare?

Yes. Roshani Patel is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Roshani Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roshani Patel reassigns Medicare benefits to 6 organizations: Bristol Primary Care LLC (Bristol, CT), Uconn Health Community Network Medical Group, Inc. (Waterbury, CT), The Hospital Of Central Connecticut At New Britain General And Bradley (New Britain, CT), Midstate Medical Center (Meriden, CT), Hartford Healthcare Medical Group Specialists, PLLC (Hartford, CT) and 1 more organization, listed in the Medicare section above. Each 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 Roshani Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Roshani Patel accept?

Health plans from Anthem Blue Cross and Blue Shield list Roshani 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.

When was this NPI record last updated?

The NPPES record for Roshani Patel was last updated on April 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.