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MR. LUKE CODY ROY FNP-BC
NPI 1235696964
Nurse Practitioner - Family in La Mesa, CA

Active since February 28, 2019PECOS Enrolled
5555 GROSSMONT CENTER DR, LA MESA, CA 91942(619) 740-3058(619) 740-3967 Get Directions Write a Review

NPPES record last updated: March 4, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 4, 2024, Apr 30, 2019, Feb 28, 2019 (3 updates tracked since 2019).

About Mr. Luke Cody Roy Fnp-bc NPPES

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

MR. LUKE CODY ROY FNP-BC (NPI 1235696964) is an individual family provider in La Mesa, California, licensed in California (NP95011115) and active in the NPI registry since February 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235696964
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. LUKE CODY ROYCredential: FNP-BC
Location Address5555 GROSSMONT CENTER DRLa Mesa, CA 91942-3019
Mailing Address4320 Mayapan DrLa Mesa, CA 91941-7142 · (619) 335-6799
Phone(619) 740-3058
Fax(619) 740-3967
Sole ProprietorNo
Enumeration DateFebruary 28, 2019
Last NPPES UpdateMarch 4, 20243 updates tracked since enumeration
NPPES CertifiedMarch 4, 2024
✔ NPI 1235696964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · NP95011115
Also ListedRegistered NurseTaxonomy 163W00000X · License 786655 (CA)
Also ListedRegistered Nurse · EmergencyTaxonomy 163WE0003X · License B01084732 (CA)
5555 GROSSMONT CENTER DR, La Mesa, CA 91942
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Luke Cody Roy Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Luke Roy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Fadi A. Haddad, M.D., Inc.
0.1 mi
Clinic/Center
8860 CENTER DR STE 320
La Mesa, CA 91942
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Fadi A Haddad MD Inc
  • 4 clinicians in this Medicare group
NPI 1053590349 (619) 376-1904

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91942 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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 20

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

ALHELI BAILY
Registered Nurse
5555 GROSSMONT CENTER DR
LA MESA, CA 91942
San Diego County (619) 740-6000
MISS APRIL JULIA CROMIE PMHNP-BC, APRN, MSN
Nurse Practitioner (Psychiatric/Mental Health)
5555 GROSSMONT CENTER DR, 5555 GROSSMONT CENTER DR
LA MESA, CA 91942
San Diego County (858) 296-6182
TEAGAN SHEA COLEMAN
Registered Nurse (Emergency)
5555 GROSSMONT CENTER DR
LA MESA, CA 91942
San Diego County (619) 740-6000
BRENDAN J LEE DO
Emergency Medicine
5555 GROSSMONT CENTER DR
LA MESA, CA 91942
San Diego County (619) 644-4401
PAUL Y ABOU MD
Internal Medicine
5555 GROSSMONT CENTER DR
LA MESA, CA 91942
San Diego County (619) 465-0711
MRS. AMY ELIZABETH VU P.A.-C
Physician Assistant
5555 GROSSMONT CENTER DR
LA MESA, CA 91942
San Diego County (619) 740-6000
CHRISTA ANN LANDOWSKA AREFIEVA MD
Emergency Medicine
5555 GROSSMONT CENTER DR
LA MESA, CA 91942
San Diego County (619) 740-6000
TYLER QUOC NGUYEN
Pharmacist
5555 GROSSMONT CENTER DR
LA MESA, CA 91942
San Diego County (619) 740-6000

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 Luke Roy's NPI number?

The NPI number for Luke Roy is 1235696964. It was assigned to this individual provider in the NPPES registry on February 28, 2019.

Where is Luke Roy located?

Luke Roy practices at 5555 Grossmont Center Dr, La Mesa, CA 91942. The listed phone number is (619) 740-3058.

What is Luke Roy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Luke Roy enrolled in Medicare?

Yes. Luke Roy is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Luke Roy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Luke Roy reassigns Medicare benefits to Fadi A. Haddad, M.D., Inc. (La Mesa, CA). The 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 Luke Roy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Luke Roy was last updated on March 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.