Individual provider Active NPI

Roshani Patel

  • Internal Medicine Physician
  • Bristol, CT
National Provider Identifier
1265853154
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
55016 Issued in CT
Practice address
665 Terryville Ave, Unit 2
Bristol, CT 06010-4078
Phone
(860) 261-5217
Fax
(860) 261-5525
NPI assigned
Dec 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 55016 CT
Internal Medicine Physician 207R00000X 55016 CT Primary

Addresses

Primary practice location

665 Terryville Ave, Unit 2
Bristol, CT 06010-4078

Mailing address

665 Terryville Ave, Unit 2
Bristol, CT 06010-4078
Phone (860) 261-5217

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20160505000467 CT Practitioner - Internal Medicine 9830407071 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2007
Medicare assignment
May accept Medicare assignment
Group practices
Bristol Primary Care LLCGroup PAC ID 8628446861, 3 clinicians
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians

Practice addresses (Care Compare)

665 Terryville Ave
Unit 2
Bristol, CT 06010-4078
Phone (860) 261-5217

80 Seymour St
Hartford, CT 06102-8000
Phone (860) 972-0549

Hospital & facility affiliations

  • Bristol Hospital Hospital, Bristol, CT, CCN 070029
  • Pines at Bristol for Nursing & Rehabilitation, the Nursing home, Bristol, CT, CCN 075221
  • Ingraham Manor Rehab and Nursing Nursing home, Bristol, CT, CCN 075329

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
55016CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midstate Medical Center Current Accepting new patients
Prospect CT Medical Foundation, Inc. Internal Medicine CurrentSince Sep 1, 2016 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley Internal Medicine CurrentSince Feb 1, 2022 Accepting new patients
Midstate Medical Center CurrentSince Feb 1, 2022 Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince Jan 17, 2022 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Jan 17, 2022 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley CurrentSince Feb 1, 2022 Accepting new patients
Bristol Primary Care LLC Internal Medicine CurrentSince Sep 1, 2022 Accepting new patients
Midstate Medical Center CurrentSince Feb 1, 2022 Accepting new patients

Locations

1801 W Olympic Blvd
#2201
Pasadena, CA 91199

665 Terryville Ave
Ste 2
Bristol, CT 06010
Phone (860) 261-5217

18 Haynes St
Uppr
Manchester, CT 06040
Phone (860) 649-7557

435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340

1625 Straits Tpke
Ste 201
Middlebury, CT 06762
Phone (203) 573-9512

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

81 Meriden Ave
Southington, CT 06489
Phone (860) 224-5540

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

64 Robbins St
Waterbury, CT 06708
Phone (203) 573-7142

Interoperability endpoints

  • Direct secure messaging: rpatel399070@xdr.hhchealthdirect.org

Organizations & group practices 9

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 3

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": "1387411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1265853154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 TERRYVILLE AVE, UNIT 2",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060104078",
            "telephone_number": "860-261-5217",
            "fax_number": "860-261-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 TERRYVILLE AVE, UNIT 2",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060104078",
            "telephone_number": "860-261-5217",
            "fax_number": "860-261-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "ROSHANI",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-19",
        "last_updated": "2024-04-19",
        "certification_date": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CT",
            "license": "55016",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "55016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, CT

Sources for this page

Verify at the official NPI Registry.