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ROY EUGENE KERRY MD
NPI 1063579522
Specialist in Greenville, PA

Active since January 03, 2007Opted out of Medicare · through Jan 1, 2028
17 6TH AVE, GREENVILLE, PA 16125(724) 588-2600(724) 588-6427 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Roy Eugene Kerry Md NPPES

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

ROY EUGENE KERRY MD (NPI 1063579522) is an individual specialist in Greenville, Pennsylvania, licensed in Pennsylvania (MD008220E) and active in the NPI registry since January 2007. He has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1063579522
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameROY EUGENE KERRYCredential: MD
Location Address17 6TH AVEGreenville, PA 16125-1237
Mailing Address17 6th AveGreenville, PA 16125-1237 · (724) 588-2600 · Fax (724) 588-6427
Phone(724) 588-2600
Fax(724) 588-6427
Sole ProprietorYes
Enumeration DateJanuary 3, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1063579522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in PA · MD008220E
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
17 6TH AVE, Greenville, PA 16125
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Other Identifiers 4

Medicare UPINE52728PA
Medicaid0007258300001PA
Medicare ID-Type Unspecified016672PA
Medicaid0162158OH

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Roy Eugene Kerry Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2008 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2008
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES

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

ADVANCED INTEGRATIVE MEDICINE CENTER INC
Specialist
17 6TH AVE
GREENVILLE, PA 16125
Mercer County (724) 588-2600

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 Roy Kerry's NPI number?

The NPI number for Roy Kerry is 1063579522. It was assigned to this individual provider in the NPPES registry on January 3, 2007.

Where is Roy Kerry located?

Roy Kerry practices at 17 6th Ave, Greenville, PA 16125. The listed phone number is (724) 588-2600.

What is Roy Kerry's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Roy Kerry enrolled in Medicare?

No. Roy Kerry has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Roy Kerry was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.