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ROOSHIL PATEL MD
NPI 1548722085
Ophthalmology in Totowa, NJ

Active since April 03, 2019PECOS EnrolledAccepts Medicare Assignment
77.57/100
CMS Quality Rating
415 TOTOWA RD, TOTOWA, NJ 07512(973) 595-0011(959) 595-5155 Get Directions Write a Review

NPPES record last updated: September 25, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 5, 2023, Jun 19, 2020, Apr 3, 2019 (3 updates tracked since 2019).

About Rooshil Patel Md NPPES

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

ROOSHIL PATEL MD (NPI 1548722085) is an individual ophthalmology provider in Totowa, New Jersey, licensed in New Jersey (25MA12765800) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS and is a graduate of University Of Kentucky College Of Medicine (2019).

NPPES Registry Identity

NPI1548722085
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameROOSHIL PATELCredential: MD
Location Address415 TOTOWA RDTotowa, NJ 07512-2081
Mailing Address3775 Roswell Rd Ste 100Marietta, GA 30062-8832 · (678) 381-2020
Phone(973) 595-0011
Fax(959) 595-5155
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2019
Enumeration DateApril 3, 2019
Last NPPES UpdateSeptember 25, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2025
✔ NPI 1548722085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses✔ Licensed in NJ · 25MA12765800✔ Licensed in GA · 95530
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
415 TOTOWA RD, Totowa, NJ 07512
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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

Rooshil 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 ID5294154233
PECOS Enrollment IDI20250728000614, I20251211000248
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 14

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.

Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
275 services180 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
180 services104 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.
123 services123 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
113 services84 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.
90 services77 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
63 services59 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07512 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
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.

77.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability95
Improvement Activities40
Cost29.42

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. FRANCESCA MARIE GILIBERTI M.D.
Ophthalmology
415 TOTOWA RD
TOTOWA, NJ 07512
Passaic County (973) 595-0011

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 Rooshil Patel's NPI number?

The NPI number for Rooshil Patel is 1548722085. It was assigned to this individual provider in the NPPES registry on April 3, 2019.

Where is Rooshil Patel located?

Rooshil Patel practices at 415 Totowa Rd, Totowa, NJ 07512. The listed phone number is (973) 595-0011.

What is Rooshil Patel's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Rooshil Patel enrolled in Medicare?

Yes. Rooshil 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.

When was this NPI record last updated?

The NPPES record for Rooshil Patel was last updated on September 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.