ROSHNI D PATEL
NPI 1578992566
Nurse Practitioner - Family in Charlottesville, VA

Active since November 11, 2013PECOS EnrolledAccepts Medicare Assignment
95.11/100
CMS Quality Rating
3263 PROFFIT RD STE 203, CHARLOTTESVILLE, VA 22911(434) 654-5575(434) 654-4661 Get Directions Write a Review

NPPES record last updated: December 29, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Dec 29, 2025, Oct 10, 2021, Jul 29, 2021 and 2 more (5 updates tracked since 2016).

About Roshni D Patel NPPES

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

ROSHNI D PATEL (NPI 1578992566) is an individual family provider in Charlottesville, Virginia, licensed in Virginia (0024171077) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS, is affiliated with Sentara Martha Jefferson Hospital, and is a graduate of University Of Virginia School Of Medicine (2013).

NPPES Registry Identity

NPI1578992566
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameROSHNI D PATEL
Location Address3263 PROFFIT RD STE 203Charlottesville, VA 22911-5639
Mailing AddressPo Box 79777Baltimore, MD 21279-0777 · (434) 654-7794 · Fax (434) 654-4661
Fax(434) 654-4661
Sole ProprietorNo
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 2013
Enumeration DateNovember 11, 2013
Last NPPES UpdateDecember 29, 20255 updates tracked since enumeration
NPPES CertifiedDecember 29, 2025
✔ NPI 1578992566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in VA · 0024171077✔ Licensed in VA · 0001179984
3263 PROFFIT RD STE 203, Charlottesville, VA 22911

Other Names 1

Other Name (5)Roshni Dilan Patel

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Roshni D Patel 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 ID9436388089
PECOS Enrollment IDI20140206000351
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 Roshni Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
590 PETER JEFFERSON PKWY STE 300
Charlottesville, VA 22911
  • Reassigned Medicare billing, Virginia enrollment
  • 307 clinicians in this Medicare group

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 2

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 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.
153 services117 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.
114 services89 patients

Hospital Affiliations CMS Care Compare

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

Sentara Martha Jefferson Hospital

Acute Care Hospitals · Charlottesville, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490077
Location500 Martha Jefferson DriveCharlottesville, VA 22911 · Albemarle County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22911 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

95.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.31
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
50%22 patients3/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
96%609 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
81%114 patients4/55-star benchmark: 88%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

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

Physical Therapist
3263 PROFFIT RD STE 203
CHARLOTTESVILLE, VA 22911
Physical Therapist
3263 PROFFIT RD STE 203
CHARLOTTESVILLE, VA 22911
Physical Therapist
3263 PROFFIT RD STE 203
CHARLOTTESVILLE, VA 22911

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 Roshni Patel's NPI number?

The NPI number for Roshni Patel is 1578992566. It was assigned to this individual provider in the NPPES registry on November 11, 2013. The provider is also known as Roshni Dilan Patel.

Where is Roshni Patel located?

Roshni Patel practices at 3263 Proffit Rd Ste 203, Charlottesville, VA 22911. The listed phone number is (434) 654-5575.

What is Roshni Patel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Roshni Patel enrolled in Medicare?

Yes. Roshni 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.

Which organization bills Medicare for Roshni Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roshni Patel reassigns Medicare benefits to Martha Jefferson Medical Group LLC (Charlottesville, VA). 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 Roshni Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Roshni Patel affiliated with any hospitals?

According to CMS data, Roshni Patel is affiliated with Sentara Martha Jefferson Hospital.

When was this NPI record last updated?

The NPPES record for Roshni Patel was last updated on December 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.