Individual provider Active NPI

Roshan Pais, M.D.

  • Internal Medicine Physician
  • Berea, KY
National Provider Identifier
1154521979
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
41187 Issued in KY
Practice address
305 Estill St
Hospitalist Dept
Berea, KY 40403-1742
Phone
(859) 986-2344
Fax
(859) 986-6768
NPI assigned
Jul 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 090370 OH
Internal Medicine Physician 207R00000X 41187 KY Primary

Addresses

Primary practice location

305 Estill St
Hospitalist Dept
Berea, KY 40403-1742

Mailing address

100 E Liberty St
Ste 800
Louisville, KY 40202-1434
Phone (859) 986-2344

Other practice location 1

801 Eastern Byp
Richmond, KY 40475-2751
Phone (859) 625-3603

Other identifiers 2

IdentifierTypeStateIssuer
7100021370MedicaidKY
P00466697OtherKYMEDICARE RAILROAD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rpais8219@bhkydirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071107000360 KY Practitioner - HospitalistPractitioner - Internal Medicine 6204923220 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

4071 Tates Creek Centre Dr
Suite 202
Lexington, KY 40517-3094
Phone (859) 260-4390

801 Eastern Bypass
Richmond, KY 40475-2751
Phone (859) 623-3131

Hospital & facility affiliations

  • Baptist Health Richmond Hospital, Richmond, KY, CCN 180049

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
090370OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Jan 1, 2015 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jan 1, 2015 Accepting new patients
Cogent Healthcare of Kentucky, PSC Internal Medicine CurrentSince Sep 1, 2018 Accepting new patients
Baptist Healthcare System, Inc. Past Accepting new patients

Locations

305 Estill St
Berea, KY 40403
Phone (859) 986-1415

150 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 267-9773

4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390

1 Saint Joseph Dr
Lexington, KY 40504
Phone (502) 350-5000

1001 Saint Joseph Ln
London, KY 40741
Phone (606) 330-6000

740 E Laurel Rd
London, KY 40741
Phone (606) 877-3931

2700 Stanley Gault Pkwy
Ste 129
Louisville, KY 40223
Phone (502) 253-4900

801 Eastern Byp
Richmond, KY 40475
Phone (606) 623-3131

789 Eastern Byp
Ste 11
Richmond, KY 40475
Phone (859) 624-0012

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1154521979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E LIBERTY ST",
            "address_2": "STE 800",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021434",
            "telephone_number": "859-986-2344",
            "fax_number": "859-986-6768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 ESTILL ST",
            "address_2": "HOSPITALIST DEPT",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404031742",
            "telephone_number": "859-986-2344",
            "fax_number": "859-986-6768"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 Eastern Byp",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "KY",
            "postal_code": "404752751",
            "country_code": "US",
            "telephone_number": "859-625-3603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAIS",
        "first_name": "ROSHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-19",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "090370",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "41187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100021370",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00466697",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rpais8219@bhkydirect.com",
            "affiliation": "N",
            "address_1": "801 Eastern Byp",
            "city": "Richmond",
            "state": "KY",
            "country_code": "US",
            "postal_code": "404752751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Berea, KY

Sources for this page

Verify at the official NPI Registry.