Individual provider Active NPI

Roshni Amin Patel, PA-C

  • Physician Assistant
  • Gainesville, FL
National Provider Identifier
1538534003
Registry record updated Mar 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9109227 Issued in FL
Practice address
4343 W Newberry Rd Ste 10
Gainesville, FL 32607-2825
Phone
(352) 373-2340
NPI assigned
Dec 9, 2015
Last updated
Mar 22, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2019

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 PA9109227 FL Primary

Addresses

Primary practice location

4343 W Newberry Rd Ste 10
Gainesville, FL 32607-2825

Mailing address

4881 NW 8TH Ave Ste 2
Gainesville, FL 32605-4582
Phone (352) 224-2481

Other identifiers 1

IdentifierTypeStateIssuer
PA109227OtherFLLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20160502000425 FL Practitioner - Physician Assistant 0749589414 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9109227FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Simed Health LLC CurrentSince Apr 1, 2019 Accepting new patients
Simedhealth, L.L.C. Past Accepting new patients

Locations

4343 Newberry Rd
Gainesville, FL 32607
Phone (352) 224-2200

4343 Newberry Rd
Ste 10
Gainesville, FL 32607
Phone (352) 373-2340

4881 NW 8th Ave
Ste 2
Gainesville, FL 32605
Phone (352) 373-6338

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1449619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553212800000",
    "number": "1538534003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4881 NW 8TH AVE STE 2",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054582",
            "telephone_number": "352-224-2481",
            "fax_number": "352-373-3140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4343 W NEWBERRY RD STE 10",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326072825",
            "telephone_number": "352-373-2340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "ROSHNI",
        "middle_name": "AMIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-09",
        "last_updated": "2019-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9109227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PA109227",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.