Individual provider Active NPI

Tina Rosylin Patel, PA-C

  • Physician Assistant
  • Mason, OH
National Provider Identifier
1467780445
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.007633RX Issued in OH
Practice address
5535 Irwin Simpson Rd
Mason, OH 45040-8107
Phone
(770) 630-9110
NPI assigned
Dec 2, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.007633RX OH Primary

Addresses

Primary practice location

5535 Irwin Simpson Rd
Mason, OH 45040-8107

Mailing address

3651 Dunlop CT
Mason, OH 45040-4732
Phone (770) 630-9110

Other names 1

  • Tina Rosylin Joseph Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231101000929 OH Practitioner - Physician Assistant 0840327094 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Physical Medicine and Rehabilitation LLCGroup PAC ID 3375972979, 7 clinicians

Practice addresses (Care Compare)

6213 Snider Rd
Suite a
Mason, OH 45040-2793
Phone (513) 486-3744

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50.007633RXOHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Rehab Consultants PLLC CurrentSince Nov 1, 2024 Accepting new patients
Eventus Ecs - Ohio LLC Physician Assistant CurrentSince Oct 1, 2025 Accepting new patients

Locations

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

3958 Brown Park Dr
Ste D
Hilliard, OH 43026

501 N 2nd St
Loveland, OH 45140
Phone (513) 560-2515

8151 Norton Pkwy
Mentor, OH 44060
Phone (440) 299-5500

4900 Hendrickson Rd
Middletown, OH 45044
Phone (513) 605-7000

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1259712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1467780445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3651 DUNLOP CT",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450404732",
            "telephone_number": "770-630-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5535 IRWIN SIMPSON RD",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450408107",
            "telephone_number": "770-630-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "TINA",
        "middle_name": "ROSYLIN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-02",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.007633RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TINA",
            "last_name": "JOSEPH",
            "middle_name": "ROSYLIN",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mason, OH

Sources for this page

Verify at the official NPI Registry.