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ASHISH KUMAR ROY
NPI 1194133850
Internal Medicine in Peoria, IL

Active since July 25, 2014PECOS EnrolledAccepts Medicare Assignment
530 N.E. GLEN OAK AVE, PEORIA, IL 61637(309) 655-6384(309) 655-7732 Get Directions Write a Review

NPPES record last updated: May 9, 2017. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Ashish Kumar Roy NPPES

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

ASHISH KUMAR ROY (NPI 1194133850) is an individual internal medicine provider in Peoria, Illinois, licensed in Illinois (036-142270) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS, is affiliated with St Mary Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1194133850
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameASHISH KUMAR ROY
Location Address530 N.E. GLEN OAK AVEPeoria, IL 61637
Mailing Address828 Ne Glen Oak Ave, Apt # 111Peoria, IL 61603
Phone(309) 655-6384
Fax(309) 655-7732
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJuly 25, 2014
Last NPPES UpdateMay 9, 2017
✔ NPI 1194133850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in IL · 036-142270✔ Licensed in IL · 125064732
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
530 N.E. GLEN OAK AVE, Peoria, IL 61637
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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

Ashish Kumar Roy 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 ID9830410596
PECOS Enrollment IDI20170607000262
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 4

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.

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.
603 services209 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
192 services114 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
143 services138 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
69 services68 patients

Hospital Affiliations CMS Care Compare 3

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

St Mary Medical Center

Acute Care Hospitals · Galesburg, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140064
Location3333 North SeminaryGalesburg, IL 61401 · Knox County
Emergency services Birthing friendly

Saint Francis Medical Center

Acute Care Hospitals · Peoria, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140067
Location530 NE Glen Oak AvePeoria, IL 61637 · Peoria County
Emergency services Birthing friendly

Osf Saint Elizabeth Mdl Ctr

Acute Care Hospitals · Ottawa, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140110
Location1100 E Norris DriveOttawa, IL 61350 · La Salle County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61637 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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 3

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

RISHI MANISH BOTHARA M.B.B.S.
Internal Medicine
530 N.E. GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 624-9351
MR. JUSTIN DUANE FREDERICK KEARNEY M.D.
Internal Medicine
530 N.E. GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-6384
MISS DARSHINE VENUGOPAL M.B.B.S.
Student in an Organized Health Care Education/Training Program
530 N.E. GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-6384

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 Ashish Roy's NPI number?

The NPI number for Ashish Roy is 1194133850. It was assigned to this individual provider in the NPPES registry on July 25, 2014.

Where is Ashish Roy located?

Ashish Roy practices at 530 N.E. Glen Oak Ave, Peoria, IL 61637. The listed phone number is (309) 655-6384.

What is Ashish Roy's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ashish Roy enrolled in Medicare?

Yes. Ashish 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.

Is Ashish Roy affiliated with any hospitals?

According to CMS data, Ashish Roy is affiliated with St Mary Medical Center, Saint Francis Medical Center and Osf Saint Elizabeth Mdl Ctr.

When was this NPI record last updated?

The NPPES record for Ashish Roy was last updated on May 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.