HEMANT K ROY MD
NPI 1023043718
Internal Medicine - Gastroenterology in Houston, TX

Active since July 11, 2006PECOS EnrolledAccepts Medicare Assignment
84.05/100
CMS Quality Rating
1504 TAUB LOOP, HOUSTON, TX 77030(713) 873-8890 Get Directions Write a Review

NPPES record last updated: June 13, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Hemant K Roy Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEMANT K ROY MD (NPI 1023043718) is an individual gastroenterology provider in Houston, Texas, licensed in Texas (S6500) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Harris Health System, and maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1023043718
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameHEMANT K ROYCredential: MD
Location Address1504 TAUB LOOPHouston, TX 77030-1608
Mailing Address1 Baylor Plz # 2gr900Houston, TX 77030-3411 · (713) 798-1750
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1989
Enumeration DateJuly 11, 2006
Last NPPES UpdateJune 13, 2025
NPPES CertifiedJune 13, 2025
NPI 1023043718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses Licensed in TX · S6500 Licensed in MA · 253828
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

1504 TAUB LOOP, Houston, TX 77030

Secondary Practice Location 1

Location 1830 Harrison Ave, Moakley, 2nd FloorBoston, MA 02118-2905 · Phone (617) 638-6525 · Fax (617) 638-7448

Other Identifiers 1

Medicaid110095093AMA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Hemant K Roy Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9436188919
PECOS Enrollment IDI20200710000494, I20260408000444
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Harris Health System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450289
Location2525 Holly HallHouston, TX 77054 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.49
Improvement Activities40
Cost54.39

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
1504 TAUB LOOP
HOUSTON, TX 77030
Physician Assistant
1504 TAUB LOOP
HOUSTON, TX 77030
Physician Assistant
1504 TAUB LOOP
HOUSTON, TX 77030
Emergency Medicine
1504 TAUB LOOP, EMERGENCY CENTER
HOUSTON, TX 77030
Emergency Medicine
1504 TAUB LOOP
HOUSTON, TX 77030
Internal Medicine (Infectious Disease)
1504 TAUB LOOP
HOUSTON, TX 77030
Obstetrics & Gynecology
1504 TAUB LOOP
HOUSTON, TX 77030
Emergency Medicine
1504 TAUB LOOP
HOUSTON, TX 77030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hemant Roy's NPI number?

The NPI number for Hemant Roy is 1023043718. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Hemant Roy located?

Hemant Roy practices at 1504 Taub Loop, Houston, TX 77030. The listed phone number is (713) 873-8890.

What is Hemant Roy's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Hemant Roy enrolled in Medicare?

Yes. Hemant Roy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Hemant Roy accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice and Molina Healthcare list Hemant Roy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Hemant Roy affiliated with any hospitals?

According to CMS data, Hemant Roy is affiliated with Harris Health System.

When was this NPI record last updated?

The NPPES record for Hemant Roy was last updated on June 13, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.