PRIYA MULGAOKAR ROY M.D.
NPI 1043492895
Internal Medicine - Gastroenterology in Columbus, OH

Q: What is Priya Roy's NPI number?

The NPI number for Priya Roy is 1043492895. It was assigned to this individual provider in the NPPES registry on December 4, 2007. The provider is also known as Priya Girish Mulgaokar M.D..

Q: What is Priya Roy's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Priya Roy was last updated on November 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 04, 2007PECOS EnrolledAccepts Medicare Assignment

85 MCNAUGHTEN RD, SUITE 320, COLUMBUS, OH 43213(614) 754-5500(614) 754-5501 Get Directions Write a Review

NPPES record last updated: November 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Priya Mulgaokar Roy M.d. NPPES

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

PRIYA MULGAOKAR ROY M.D. (NPI 1043492895) is an individual gastroenterology provider in Columbus, Ohio, licensed in Ohio (35.098020) and active in the NPI registry since December 2007. She is enrolled in Medicare PECOS, is affiliated with Mount Carmel St Ann's, and maintains a secondary practice location in Columbus.

NPPES Registry Identity

NPI1043492895

Entity TypeIndividualFemale

Primary Taxonomy207RG0100X

Provider Legal NamePRIYA MULGAOKAR ROYCredential: M.D.

Location Address85 MCNAUGHTEN RD, SUITE 320Columbus, OH 43213-2174

Mailing Address3400 Olentangy River RdColumbus, OH 43202-1523 · (614) 754-5500 · Fax (614) 457-9519

Phone(614) 754-5500

Fax(614) 754-5501

Sole ProprietorYes

Medical School CMSOhio State University College Of MedicineGraduated 2005

Enumeration DateDecember 4, 2007

Last NPPES UpdateNovember 7, 2023

NPPES CertifiedNovember 7, 2023

✔ NPI 1043492895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in OH · 35.098020

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.

Also ListedInternal MedicineTaxonomy 207R00000X · License 225524 (MA)

85 MCNAUGHTEN RD, Columbus, OH 43213

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Other Names 1

Former Name (1)Priya Girish Mulgaokar M.d.

Secondary Practice Location 1

Location 13595 Olentangy River RdColumbus, OH 43214-3440 · Phone (614) 566-5456 · Fax (614) 566-6902

Other Identifiers 1

Medicaid0055414OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource and more.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

Priya Mulgaokar Roy M.d. 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 ID8729252697

PECOS Enrollment IDI20111111000305

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.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

113 services113 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

90 services89 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

51 services51 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

49 services43 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

45 services40 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

22 services22 patients

Hospital Affiliations CMS Care Compare 5

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

Mount Carmel St Ann's

Acute Care Hospitals · Westerville, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360012

Location500 South Cleveland AvenueWesterville, OH 43081 · Franklin County

Emergency services Birthing friendly

Grant Medical Center

Acute Care Hospitals · Columbus, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360017

Location111 South Grant AvenueColumbus, OH 43215 · Franklin County

Emergency services Birthing friendly

Mount Carmel East & West

Acute Care Hospitals · Columbus, OH

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360035

Location6001 East Broad StreetColumbus, OH 43213 · Franklin County

Emergency services Birthing friendly

Doctors Hospital

Acute Care Hospitals · Columbus, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360152

Location5100 West Broad StreetColumbus, OH 43228 · Franklin County

Emergency services Birthing friendly

Dublin Methodist Hospital

Acute Care Hospitals · Dublin, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360348

Location7500 Hospital AvenueDublin, OH 43016 · Franklin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43213 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

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.

AMANDA E DARLAGE PA-C

Physician Assistant

85 MCNAUGHTEN RD, SUITE 200 AND 300
COLUMBUS, OH 43213

Franklin County (614) 224-2281

DEXTER W BLOME M.D., PH.D.

Plastic Surgery

85 MCNAUGHTEN RD, SUITE 260
COLUMBUS, OH 43213

Franklin County (614) 755-4155

OHIO GASTROENTEOLOGY GROUP, INC.

Internal Medicine (Gastroenterology)

85 MCNAUGHTEN RD, STE 320
COLUMBUS, OH 43213

Franklin County (614) 754-5500

CENTRAL OHIO ENDOSCOPY CENTER, LLC

Clinic/Center (Endoscopy)

85 MCNAUGHTEN RD, STE 320
COLUMBUS, OH 43213

Franklin County (614) 754-5500

EARL A WALKER

Dermatology

85 MCNAUGHTEN RD
COLUMBUS, OH 43213

Franklin County (614) 863-1611

MS. KATHERINE ANN EXLINE

Nurse Practitioner (Family)

85 MCNAUGHTEN RD, SUITE 300
COLUMBUS, OH 43213

Franklin County (614) 224-2281

BIJESH P MAROO MD

Internal Medicine (Cardiovascular Disease)

85 MCNAUGHTEN RD, SUITE 300
COLUMBUS, OH 43213

Franklin County (614) 224-2281

COLUMBUS BONE, JOINT & HAND SURGEONS, INC

Durable Medical Equipment & Medical Supplies

85 MCNAUGHTEN RD, SUITE 120
COLUMBUS, OH 43213

Franklin County (614) 228-4262

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 Priya Roy's NPI number?

The NPI number for Priya Roy is 1043492895. It was assigned to this individual provider in the NPPES registry on December 4, 2007. The provider is also known as Priya Girish Mulgaokar M.D..

Where is Priya Roy located?

Priya Roy practices at 85 Mcnaughten Rd Suite 320, Columbus, OH 43213. The listed phone number is (614) 754-5500.

What is Priya Roy's specialty?

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

Is Priya Roy enrolled in Medicare?

Yes. Priya 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 Priya Roy accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource, MedMutual and Molina Healthcare and 1 other insurer list Priya 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 Priya Roy affiliated with any hospitals?

According to CMS data, Priya Roy is affiliated with Mount Carmel St Ann's, Grant Medical Center, Mount Carmel East & West, Doctors Hospital and Dublin Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Priya Roy was last updated on November 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.