ABINASH CHANDRA ROY MD
NPI 1295825818
Internal Medicine - Nephrology in Salt Lake City, UT

Q: What is Abinash Roy's NPI number?

The NPI number for Abinash Roy is 1295825818. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Q: What is Abinash Roy's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Abinash Roy was last updated on December 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since October 13, 2006PECOS EnrolledAccepts Medicare Assignment

92.06/100

CMS Quality Rating

50 N MEDICAL DR, SALT LAKE CITY, UT 84132(801) 581-6709 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Abinash Chandra Roy Md NPPES

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

ABINASH CHANDRA ROY MD (NPI 1295825818) is an individual nephrology provider in Salt Lake City, Utah, licensed in Utah (4881894-1205) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Mesa View Regional Hospital, and is a graduate of Other (1979).

NPPES Registry Identity

NPI1295825818

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameABINASH CHANDRA ROYCredential: MD

Location Address50 N MEDICAL DRSalt Lake City, UT 84132-0001

Mailing AddressPo Box 581700Salt Lake City, UT 84158-1700 · (801) 213-3800

Phone(801) 581-6709

Sole ProprietorNo

Medical School CMSOtherGraduated 1979

Enumeration DateOctober 13, 2006

Last NPPES UpdateDecember 1, 2021

NPPES CertifiedDecember 1, 2021

✔ NPI 1295825818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in UT · 4881894-1205

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

50 N MEDICAL DR, Salt Lake City, UT 84132

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Select Health, University of Utah Health Plans.Insurance ›

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

Abinash Chandra Roy Md 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 ID8921059544

PECOS Enrollment IDI20050201000530, I20080516000150

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 6

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 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.

282 services216 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

116 services54 patients

Dialysis services, 4 or more physician visits per month (20 years or older) 90960

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.

112 services23 patients

Dialysis services, 2-3 physician visits per month (20 years or older) 90961

Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.

109 services31 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

70 services70 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

46 services38 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mesa View Regional Hospital

Critical Access Hospitals · Mesquite, NV

1/5 CMS rating

OwnershipProprietary

CMS Certification Number291307

Location1299 Bertha Howe AvenueMesquite, NV 89027 · Clark County

Emergency services

Cedar City Hospital

Acute Care Hospitals · Cedar City, UT

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number460007

Location1303 North Main StreetCedar City, UT 84721 · Iron County

Emergency services Birthing friendly

St. George Regional Hospital

Acute Care Hospitals · St George, UT

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number460021

Location1380 East Medical Center DriveSt George, UT 84790 · Washington County

Emergency services Birthing friendly

Kane County Hospital

Critical Access Hospitals · Kanab, UT

OwnershipGovernment - Hospital District or Authority

CMS Certification Number461309

Location355 North Main StreetKanab, UT 84741 · Kane County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84132 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

$125.70 typical visit price

range $54.34 – $166.03

Typical copayment $31.42 (range $13.58 – $41.50)

Most-billed visit code 99204

Established Patient

$96.35 typical visit price

range $17.23 – $135.20

Typical copayment $24.08 (range $4.30 – $33.80)

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.

92.06/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

85.57

Promoting Interoperability

100

Improvement Activities

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.

Tacrolimus, immediate release, oral, 1 mg J7507

Treatment-Treatment - Miscellaneous · category RX029N

7 suppliers81 claims6,480 services$0.30 avg. paid by Medicare

Prednisone, immediate release or delayed release, oral, 1 mg J7512

Treatment-Treatment - Miscellaneous · category RX029N

4 suppliers24 claims4,050 services$0.01 avg. paid by Medicare

Mycophenolate mofetil, oral, 250 mg J7517

Treatment-Treatment - Miscellaneous · category RX029N

4 suppliers38 claims5,040 services$0.19 avg. paid by Medicare

Mycophenolic acid, oral, 180 mg J7518

Treatment-Treatment - Miscellaneous · category RX029N

3 suppliers16 claims2,280 services$0.77 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511

Treatment-Chemotherapy · category RH012N

10 suppliers76 claims76 services$18.20 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512

Treatment-Chemotherapy · category RH012N

11 suppliers99 claims111 services$12.30 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 20

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

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