Active NPI
Roshni Patel, MD
- Interventional Pain Medicine Physician
- Farmington, CT
National Provider Identifier
1710947106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 042468
- Practice address
- 55 South Rd Ste 120
Farmington, CT 06032-2022 - Phone
- (860) 397-6179
- Fax
- (860) 321-7148
- NPI assigned
- Mar 28, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 042468 | CT | |
| Brain Injury Medicine (Psychiatry & Neurology) Physician | 2084P0301X | 042468 | CT | |
| Pain Medicine (Psychiatry & Neurology) Physician | 2084P2900X | 042468 | CT | |
| Interventional Pain Medicine Physician | 208VP0014X | 042468 | CT | Primary |
Addresses
Primary practice location
55 South Rd Ste 120
Farmington, CT 06032-2022
Mailing address
55 South Rd Ste 120
Farmington, CT 06032-2022
Phone (860) 397-6179
Other practice location 1
1001 Farmington Ave
West Hartford, CT 06107
Phone (860) 348-7093
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3V1121 | Other | CT | HEALTH NET |
| 422008 | Other | CT | WELLCARE MEDICARE ONLY |
| 3212638 | Other | CT | CIGNA |
| 010042468CT02 | Other | CT | BCBS, BCFP, MEDIBLUE |
| 9932098 | Other | CT | AETNA |
| 001424689 | Medicaid | CT | |
| 042468 | Other | CT | CONNECTICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042468 | CT | MD | Brain Injury Medicine (Psychiatry & Neurology) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577059200000",
"number": "1710947106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 SOUTH RD STE 120",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "060322022",
"telephone_number": "860-397-6179",
"fax_number": "860-321-7148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 SOUTH RD STE 120",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "060322022",
"telephone_number": "860-397-6179",
"fax_number": "860-321-7148"
}
],
"practiceLocations": [
{
"address_1": "1001 Farmington Ave",
"address_purpose": "LOCATION",
"city": "West Hartford",
"state": "CT",
"postal_code": "06107",
"country_code": "US",
"telephone_number": "860-348-7093",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "ROSHNI",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-28",
"last_updated": "2019-12-23",
"certification_date": "2019-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CT",
"license": "042468",
"primary": false
},
{
"code": "2084P0301X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Brain Injury Medicine",
"state": "CT",
"license": "042468",
"primary": false
},
{
"code": "2084P2900X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Pain Medicine",
"state": "CT",
"license": "042468",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "CT",
"license": "042468",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "3V1121",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE MEDICARE ONLY",
"identifier": "422008",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "3212638",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS, BCFP, MEDIBLUE",
"identifier": "010042468CT02",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "9932098",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001424689",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "042468",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Farmington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.