Active NPI
Roshni Patel
- Internal Medicine Physician
- Southlake, TX
National Provider Identifier
1063953271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- S7530
- Practice address
- 2106 E State Highway 114 Ste 300
Southlake, TX 76092-6597 - Phone
- (817) 552-4300
- NPI assigned
- Mar 20, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | S7530 | TX | Primary |
Addresses
Primary practice location
2106 E State Highway 114 Ste 300
Southlake, TX 76092-6597
Mailing address
4239 Rawlins St Apt 9
Dallas, TX 75219-2721
Phone (915) 449-7050
Other practice location 1
8230 Walnut Hill Ln Ste 620
Dallas, TX 75231-4407
Phone (214) 373-3475
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 23, 2023 through Jan 23, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthcare Associates of Southlake LLP | Past | Accepting new patients | |
| Dirk a Frater MD, PA | Internal Medicine | Past | Accepting new patients |
Interoperability endpoints
- roshni.patel@121809649467396.direct.elationemr.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1629244660
-
- Family Medicine Physician
- Southlake, TX
- NPI 1043720154
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760745600000",
"number": "1063953271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4239 RAWLINS ST APT 9",
"city": "DALLAS",
"state": "TX",
"postal_code": "752192721",
"telephone_number": "915-449-7050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2106 E STATE HIGHWAY 114 STE 300",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760926597",
"telephone_number": "817-552-4300"
}
],
"practiceLocations": [
{
"address_1": "8230 Walnut Hill Ln Ste 620",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752314407",
"country_code": "US",
"telephone_number": "214-373-3475",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "ROSHNI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-20",
"last_updated": "2025-10-18",
"certification_date": "2025-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "S7530",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southlake, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.