MADISON ROY PA
NPI 1205768108
Physician Assistant - Medical in Boston, MA
About Madison Roy Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MADISON ROY PA (NPI 1205768108) is an individual medical provider in Boston, Massachusetts, licensed in Massachusetts (PA102827) and active in the NPI registry since June 2026. She is enrolled in Medicare PECOS and maintains a secondary practice location in Boston.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Madison Roy Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
BOSTON, MA 02215
BOSTON, MA 02215
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 Madison Roy's NPI number?
The NPI number for Madison Roy is 1205768108. It was assigned to this individual provider in the NPPES registry on June 2, 2026.
Where is Madison Roy located?
Madison Roy practices at 450 Brookline Ave, Boston, MA 02215. The listed phone number is (413) 262-5954.
What is Madison Roy's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Madison Roy enrolled in Medicare?
Yes. Madison Roy is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Madison Roy was last updated on July 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.
# Madison Roy, PA · NPI 1205768108
Medical physician in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since June 2, 2026.
## Identity
- **NPI:** 1205768108 (Entity type: Individual)
- **Enumerated:** June 2, 2026
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** PA102827 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 450 BROOKLINE AVE, Boston, MA 02215-5450
- **Phone:** (413) 262-5954
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** July 21, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1205768108) · Data from the CMS NPPES public registry.