MOHANA ROY M.D.
NPI 1265812820
Internal Medicine - Hematology in Stanford, CA

Active since June 08, 2015PECOS EnrolledAccepts Medicare Assignment
76.5/100
CMS Quality Rating
300 PASTEUR DR, STANFORD, CA 94305(650) 723-4000 Get Directions Write a Review

NPPES record last updated: April 16, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 16, 2024, Jun 18, 2021, Jun 8, 2021 (3 updates tracked since 2021).

About Mohana Roy M.d. NPPES

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

MOHANA ROY M.D. (NPI 1265812820) is an individual hematology provider in Stanford, California, licensed in California (A154975) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (2015).

NPPES Registry Identity

NPI1265812820
Entity TypeIndividualFemale
Primary Taxonomy207RH0000X
Provider Legal NameMOHANA ROYCredential: M.D.
Location Address300 PASTEUR DRStanford, CA 94305-2200
Mailing Address300 Pasteur DrStanford, CA 94305-2200 · (650) 723-4000
Sole ProprietorNo
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 2015
Enumeration DateJune 8, 2015
Last NPPES UpdateApril 16, 20243 updates tracked since enumeration
NPPES CertifiedApril 16, 2024
NPI 1265812820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · HematologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0000X
License Licensed in CA · A154975
Definition

An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma.

Also ListedInternal MedicineTaxonomy 207R00000X · License 264173 (MA), A154975 (CA)
Also ListedInternal Medicine · Medical OncologyTaxonomy 207RX0202X · License A154975 (CA)
300 PASTEUR DR, Stanford, CA 94305

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

Mohana Roy M.d. 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 ID3072820745
PECOS Enrollment IDI20210614001604
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 8

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
375 services101 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
172 services95 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
56 services20 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
50 services50 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
42 services27 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.
23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94305 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
$206.04 typical visit price
range $70.37 – $206.04
Typical copayment $51.51 (range $17.59 – $51.51)
Most-billed visit code 99205
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
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.

76.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.31
Promoting Interoperability100
Improvement Activities40
Cost43.95

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.

Emergency Medicine
300 PASTEUR DR, H3200, M/C 5230
PALO ALTO, CA 94305
Anesthesiology
300 PASTEUR DR
STANFORD, CA 94305
Obstetrics & Gynecology
300 PASTEUR DR
STANFORD, CA 94305
Obstetrics & Gynecology
300 PASTEUR DR
STANFORD, CA 94305
Nurse Practitioner
300 PASTEUR DR, SUMC - PEDS PHYSICIAN BILLING MC:5530
PALO ALTO, CA 94305
Anesthesiology
300 PASTEUR DR
STANFORD, CA 94305
Anesthesiology
300 PASTEUR DR
STANFORD, CA 94305
Anesthesiology
300 PASTEUR DR
STANFORD, CA 94305

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 Mohana Roy's NPI number?

The NPI number for Mohana Roy is 1265812820. It was assigned to this individual provider in the NPPES registry on June 8, 2015.

Where is Mohana Roy located?

Mohana Roy practices at 300 Pasteur Dr, Stanford, CA 94305. The listed phone number is (650) 723-4000.

What is Mohana Roy's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology, with taxonomy code 207RH0000X.

Is Mohana Roy enrolled in Medicare?

Yes. Mohana 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 Mohana Roy was last updated on April 16, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.