DOLLY BANERJEE ROY MD
NPI 1053469072
Psychiatry & Neurology - Neurology in Thousand Oaks, CA

Active since January 08, 2007PECOS EnrolledAccepts Medicare Assignment
100 MOODY CT STE 100, THOUSAND OAKS, CA 91360(805) 418-3500 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 21, 2022, Feb 26, 2021, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Dolly Banerjee Roy Md NPPES

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

DOLLY BANERJEE ROY MD (NPI 1053469072) is an individual neurology provider in Thousand Oaks, California, licensed in California (A86956) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with Cherokee Nation W W Hastings Indian Hospital, and maintains a secondary practice location in Woodland Hills.

NPPES Registry Identity

NPI1053469072
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameDOLLY BANERJEE ROYCredential: MD
Location Address100 MOODY CT STE 100Thousand Oaks, CA 91360-6096
Mailing Address5767 W Century Blvd, Suite 400Los Angeles, CA 90045-5631 · (310) 301-8707 · Fax (310) 301-8751
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJanuary 8, 2007
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2021
✔ NPI 1053469072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in CA · A86956
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
100 MOODY CT STE 100, Thousand Oaks, CA 91360

Secondary Practice Location 1

Location 15601 De Soto AveWoodland Hills, CA 91367-6701 · Phone (818) 719-2000

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dolly Banerjee 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 ID9436245891
PECOS Enrollment IDI20071016000183, I20221102002405, I20221220001740, I20230313000038, I20241014001160, I20260211000352
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.

Medicare Billing Reassignments

19

Medicare enrollment records show Dolly Roy reassigns Medicare billing to 19 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Critical Care Medicine
1420 ROCKY RIDGE DR STE 300
Roseville, CA 95661
  • Reassigned Medicare billing, California enrollment
  • 46 clinicians in this Medicare group
Critical Care Medicine
1420 ROCKY RIDGE DR STE 300
Roseville, CA 95661
  • Reassigned Medicare billing, California, Iowa and Nebraska enrollments
  • 48 clinicians in this Medicare group
Critical Care Medicine
1100 BUTTE ST
Redding, CA 96001
  • Reassigned Medicare billing, Arkansas and California enrollments
  • 11 clinicians in this Medicare group
Pediatrics
1920 BLACK LAKE BLVD SW
Olympia, WA 98512
  • Reassigned Medicare billing, Washington enrollment
  • 4,383 clinicians in this Medicare group
Rural Health
811 HOWELL ST
Oxford, NE 68967
  • Reassigned Medicare billing, Nebraska enrollment
  • Also billed through NPI 1124035225 (Nebraska)
  • 31 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
1150 STATE ST
Phillipsburg, KS 67661
  • Reassigned Medicare billing, Kansas enrollment
  • 34 clinicians in this Medicare group
Medical Specialty
1002 E CENTRAL BLVD
Anadarko, OK 73005
  • Reassigned Medicare billing, Oklahoma enrollment
  • 55 clinicians in this Medicare group
Family Medicine
130 N 6TH ST
Loup City, NE 68853
  • Reassigned Medicare billing, Nebraska enrollment
  • 34 clinicians in this Medicare group
Rural Health
525 E 11TH ST
Superior, NE 68978
  • Reassigned Medicare billing, California enrollment
  • 2 clinicians in this Medicare group
Critical Access
40 HOSPITAL RD
Fairfax, OK 74637
  • Reassigned Medicare billing, Oklahoma enrollment
  • 55 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 11

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.

Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth G0425
A telehealth consultation is a remote medical service where a doctor assesses your health condition through a video call. In an emergency or initial inpatient scenario, this typically lasts for about 30 minutes. This method allows for prompt, efficient care without needing to be physically present in a healthcare facility.
76 services74 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
39 services39 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
21 services21 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.
20 services15 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
19 services15 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
17 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Cherokee Nation W W Hastings Indian Hospital

Acute Care Hospitals · Tahlequah, OK
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number370171
Location100 S Bliss AvenueTahlequah, OK 74464 · Cherokee County
Emergency services Birthing friendly

Saint Francis Hospital South, LLC

Acute Care Hospitals · Tulsa, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370218
Location10501 East 91st Street SouthTulsa, OK 74133 · Tulsa County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91360 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
$140.72 typical visit price
range $62.32 – $185.36
Typical copayment $35.18 (range $15.58 – $46.34)
Most-billed visit code 99204
Established Patient
$108.74 typical visit price
range $20.68 – $151.85
Typical copayment $27.18 (range $5.17 – $37.96)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Patient lift, electric with seat or sling E0635
DME-Other DME · category DE000N
1 supplier12 claims12 services$74.05 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

Internal Medicine (Allergy & Immunology)
100 MOODY CT STE 100
THOUSAND OAKS, CA 91360

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 Dolly Roy's NPI number?

The NPI number for Dolly Roy is 1053469072. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Where is Dolly Roy located?

Dolly Roy practices at 100 Moody Ct Ste 100, Thousand Oaks, CA 91360. The listed phone number is (805) 418-3500.

What is Dolly Roy's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Dolly Roy enrolled in Medicare?

Yes. Dolly 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.

Which organizations bill Medicare for Dolly Roy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dolly Roy reassigns Medicare benefits to 19 organizations: Veeone Medical Group II Professional Corporation (Roseville, CA), Veeone Medical Group PA (Roseville, CA), Ccmma Ca PC (Redding, CA), Multicare Health System (Olympia, WA), Harlan County Health System (Oxford, NE) and 14 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dolly Roy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dolly Roy accept?

Health plans from Arkansas Blue Cross and Blue Shield, Blue Cross and Blue Shield of Nebraska, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and CareSource and 6 other insurers list Dolly 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 Dolly Roy affiliated with any hospitals?

According to CMS data, Dolly Roy is affiliated with Cherokee Nation W W Hastings Indian Hospital and Saint Francis Hospital South, LLC.

When was this NPI record last updated?

The NPPES record for Dolly Roy was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.