DR. ROSHAN PRAVIN PATEL MD
NPI 1861996654
Emergency Medicine in Baton Rouge, LA

Active since March 19, 2018PECOS EnrolledAccepts Medicare Assignment
99.58/100
CMS Quality Rating
5246 BRITTANY DR, BATON ROUGE, LA 70808(225) 757-4142(225) 757-4230 Get Directions Write a Review

NPPES record last updated: January 8, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 8, 2021, Mar 19, 2018 (2 updates tracked since 2018).

About Dr. Roshan Pravin Patel Md NPPES

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

DR. ROSHAN PRAVIN PATEL MD (NPI 1861996654) is an individual emergency medicine provider in Baton Rouge, Louisiana, licensed in Louisiana (323386) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Ochsner Lafayette General Medical Center, and is a graduate of Louisiana State University School Of Medicine In New Orleans (2018).

NPPES Registry Identity

NPI1861996654
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. ROSHAN PRAVIN PATELCredential: MD
Location Address5246 BRITTANY DRBaton Rouge, LA 70808-9136
Mailing Address200 Corporate BlvdLafayette, LA 70508-3870 · (800) 893-9698
Fax(225) 757-4230
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 2018
Enumeration DateMarch 19, 2018
Last NPPES UpdateJanuary 8, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2021
NPI 1861996654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in LA · 323386
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

5246 BRITTANY DR, Baton Rouge, LA 70808

Accepted 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

Dr. Roshan Pravin 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 ID8325397920
PECOS Enrollment IDI20201124000272
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 3

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
479 services467 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
196 services193 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
59 services51 patients

Hospital Affiliations CMS Care Compare

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

Ochsner Lafayette General Medical Center

Acute Care Hospitals · Lafayette, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190002
Location1214 Coolidge AvenueLafayette, LA 70503 · Lafayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70808 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

99.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.17
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.

Dermatology
5246 BRITTANY DR
BATON ROUGE, LA 70808
Emergency Medicine
5246 BRITTANY DR
BATON ROUGE, LA 70808
Emergency Medicine
5246 BRITTANY DR
BATON ROUGE, LA 70808
Emergency Medicine
5246 BRITTANY DR, 3RD FLOOR
BATON ROUGE, LA 70808
Emergency Medicine
5246 BRITTANY DR
BATON ROUGE, LA 70808
Emergency Medicine
5246 BRITTANY DR, THIRD FLOOR
BATON ROUGE, LA 70808
Emergency Medicine
5246 BRITTANY DR
BATON ROUGE, LA 70808
Emergency Medicine
5246 BRITTANY DR, SUITE 304
BATON ROUGE, LA 70808

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861996654, enumerated as an "individual" on March 19, 2018.

The provider is located at 5246 BRITTANY DR BATON ROUGE, LA 70808 and the phone number is (225) 757-4142.

Emergency Medicine with taxonomy code 207P00000X.

The provider might be accepting Accepts: AmeriHealth Caritas Next and CHRISTUS Health Plan. Please consult your insurance carrier or call the provider to verify.

Roshan Patel is affiliated with: OCHSNER LAFAYETTE GENERAL MEDICAL CENTER.