Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MADISON ROY PA
NPI 1205768108
Physician Assistant - Medical in Boston, MA

Active since June 02, 2026PECOS EnrolledAccepts Medicare Assignment
450 BROOKLINE AVE, BOSTON, MA 02215(413) 262-5954 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 21, 2026, Jun 2, 2026 (2 updates tracked since 2026).

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, maintains a secondary practice location in Boston, and is a graduate of Other (2026).

NPPES Registry Identity

NPI1205768108
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMADISON ROYCredential: PA
Location Address450 BROOKLINE AVEBoston, MA 02215-5450
Mailing Address27 Brainard RdWilbraham, MA 01095-1401 · (413) 262-5954
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateJune 2, 2026
Last NPPES UpdateJuly 21, 20262 updates tracked since enumeration
NPPES CertifiedJuly 21, 2026
NPI 1205768108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in MA · PA102827
450 BROOKLINE AVE, Boston, MA 02215

Secondary Practice Location 1

Location 175 Francis StBoston, MA 02115-6106 · Phone (617) 732-5500

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

Madison Roy Pa 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 ID244795631
PECOS Enrollment IDI20260716001731
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.

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.

Internal Medicine (Hematology & Oncology)
450 BROOKLINE AVE
BOSTON, MA 02215
Physician Assistant
450 BROOKLINE AVE
BOSTON, MA 02215
Genetic Counselor, MS
450 BROOKLINE AVE
BOSTON, MA 02215
Pediatrics (Pediatric Hematology-Oncology)
450 BROOKLINE AVE
BOSTON, MA 02215
Counselor (Mental Health)
450 BROOKLINE AVE
BOSTON, MA 02215
Internal Medicine (Hematology & Oncology)
450 BROOKLINE AVE, DANA 2058
BOSTON, MA 02215
Nurse Practitioner
450 BROOKLINE AVE
BOSTON, MA 02215
Genetic Counselor, MS
450 BROOKLINE AVE
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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

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 43 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.