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

SUJA ROY RN, CRNP
NPI 1265488431
Nurse Practitioner - Family in Baltimore, MD

Active since May 26, 2006PECOS Enrolled
96.78/100
CMS Quality Rating
2700 N CHARLES ST, BALTIMORE, MD 21218(410) 766-1995(410) 761-6095 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Suja Roy Rn, Crnp NPPES

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

SUJA ROY RN, CRNP (NPI 1265488431) is an individual family provider in Baltimore, Maryland, licensed in Maryland (R139820) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1265488431
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSUJA ROYCredential: RN, CRNP
Location Address2700 N CHARLES STBaltimore, MD 21218-4300
Mailing Address8028 Ritchie Hwy, Suite 210bPasadena, MD 21122-1075 · (410) 766-1995 · Fax (410) 761-6095
Fax(410) 761-6095
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateMay 26, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1265488431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MD · R139820
2700 N CHARLES ST, Baltimore, MD 21218

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

Suja Roy Rn, Crnp 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 ID3971532607
PECOS Enrollment IDI20050811001012
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 nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
510 services44 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
367 services46 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
22 services21 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
20 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21218 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

96.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost55.96

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims365 services$4.32 avg. paid by Medicare
Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4154
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims5,064 services$0.59 avg. paid by Medicare
Hospital bed, fixed height, with any type side rails, with mattress E0250
DME-Hospital Beds · category DB000N
2 suppliers21 claims21 services$41.32 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers17 claims17 services$13.50 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers17 claims17 services$63.36 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
3 suppliers70 claims72 services$14.21 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 18

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

Family Medicine (Hospice and Palliative Medicine)
2700 N CHARLES ST
BALTIMORE, MD 21218
Skilled Nursing Facility
2700 N CHARLES ST
BALTIMORE, MD 21218
Nurse's Aide
2700 N CHARLES ST
BALTIMORE, MD 21218
Skilled Nursing Facility
2700 N CHARLES ST
BALTIMORE, MD 21218
Dietitian, Registered
2700 N CHARLES ST
BALTIMORE, MD 21218
Physician Assistant (Medical)
2700 N CHARLES ST
BALTIMORE, MD 21218
Internal Medicine (Pulmonary Disease)
2700 N CHARLES ST
BALTIMORE, MD 21218
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
2700 N CHARLES ST
BALTIMORE, MD 21218

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 Suja Roy's NPI number?

The NPI number for Suja Roy is 1265488431. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Where is Suja Roy located?

Suja Roy practices at 2700 N Charles St, Baltimore, MD 21218. The listed phone number is (410) 766-1995.

What is Suja Roy's specialty?

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

Is Suja Roy enrolled in Medicare?

Yes. Suja 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 Suja Roy was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 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.