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ALEX I ROYTBURG
NPI 1417680984
Nurse Practitioner in West Hartford, CT

Active since July 02, 2022PECOS EnrolledAccepts Medicare Assignment
76 POCAHONTAS DR, WEST HARTFORD, CT 06117(860) 798-3705 Get Directions Write a Review

NPPES record last updated: February 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alex I Roytburg NPPES

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

ALEX I ROYTBURG (NPI 1417680984) is an individual nurse practitioner in West Hartford, Connecticut, licensed in Connecticut (10744) and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1417680984
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameALEX I ROYTBURG
Location Address76 POCAHONTAS DRWest Hartford, CT 06117-1441
Mailing Address76 Pocahontas DrWest Hartford, CT 06117-1441 · (860) 798-3705
Phone(860) 798-3705
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 2, 2022
Last NPPES UpdateFebruary 13, 2023
NPPES CertifiedFebruary 13, 2023
✔ NPI 1417680984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CT · 10744
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 10.120090 (CT)
76 POCAHONTAS DR, West Hartford, CT 06117
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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

Alex I Roytburg 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 ID6305201443
PECOS Enrollment IDI20230425002158
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06117 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

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 Alex Roytburg's NPI number?

The NPI number for Alex Roytburg is 1417680984. It was assigned to this individual provider in the NPPES registry on July 2, 2022.

Where is Alex Roytburg located?

Alex Roytburg practices at 76 Pocahontas Dr, West Hartford, CT 06117. The listed phone number is (860) 798-3705.

What is Alex Roytburg's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Alex Roytburg enrolled in Medicare?

Yes. Alex Roytburg 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 Alex Roytburg was last updated on February 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.