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DURGA ROY
NPI 1427293000
Psychiatry & Neurology - Psychosomatic Medicine in Baltimore, MD

Active since December 10, 2008PECOS Enrolled
74.39/100
CMS Quality Rating
5500 E LOMBARD ST, BALTIMORE, MD 21224(410) 550-0016(410) 550-1748 Get Directions Write a Review

NPPES record last updated: November 17, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 17, 2020, Aug 28, 2018 (2 updates tracked since 2018).

About Durga Roy NPPES

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

DURGA ROY (NPI 1427293000) is an individual psychosomatic medicine provider in Baltimore, Maryland, licensed in Maryland (D74640) and active in the NPI registry since December 2008. She is enrolled in Medicare PECOS, is affiliated with Suburban Hospital, and is a graduate of University Of New Mexico School Of Medicine (2008).

NPPES Registry Identity

NPI1427293000
Entity TypeIndividualFemale
Primary Taxonomy2084P0015X
Provider Legal NameDURGA ROY
Location Address5500 E LOMBARD STBaltimore, MD 21224-1731
Mailing Address9910 Franklin Square Dr Ste 2110Baltimore, MD 21236-4902 · (410) 933-6423
Phone(410) 550-0016
Fax(410) 550-1748
Sole ProprietorNo
Medical School CMSUniversity Of New Mexico School Of MedicineGraduated 2008
Enumeration DateDecember 10, 2008
Last NPPES UpdateNovember 17, 20202 updates tracked since enumeration
NPPES CertifiedNovember 17, 2020
✔ NPI 1427293000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Psychosomatic MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2084P0015X
License✔ Licensed in MD · D74640
Definition
Psychosomatic Medicine is subspecialty in the diagnosis and treatment of psychiatric disorders and symptoms in complex medically ill patients. This subspecialty includes treatment of patients with acute or chronic medical, neurological, obstetrical or surgical illness in which psychiatric illness is affecting their medical care and/or quality of life such as HIV infection, organ transplantation, heart disease, renal failure, cancer, stroke, traumatic brain injury, high-risk pregnancy and COPD, among others. Patients also may be those who have a psychiatric disorder that is the direct consequence of a primary medical condition, or a somatoform disorder or psychological factors affecting a general medical condition. Psychiatrists specializing in Psychosomatic Medicine provide consultation-liaison services in general medical hospitals, attend on medical psychiatry inpatient units, and provide collaborative care in primary care and other outpatient settings.
5500 E LOMBARD ST, Baltimore, MD 21224
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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)

Durga Roy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5991941478
PECOS Enrollment IDI20130816000709, I20190731001286
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 Durga Roy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Johns Hopkins University
0.3 mi
Plastic Surgery
4940 EASTERN AVE
Baltimore, MD 21224
  • Reassigned Medicare billing, Maryland and District of Columbia enrollments
  • Also billed through NPI 1891072286 (District of Columbia)
  • 4,483 clinicians in this Medicare group
NPI 1275515546 (410) 550-8400

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

Areas of Expertise CMS Part B claims 5

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 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.
247 services88 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.
59 services24 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.
51 services49 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.
30 services14 patients
Emergency department visit with straightforward medical decision making 99282
An emergency department visit for a mild to moderate issue is when you seek immediate medical attention for a non-life-threatening condition. This could include minor injuries, moderate pain, or illnesses like the flu. During the visit, healthcare professionals assess your condition, provide treatment, and may recommend follow-up care.
17 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Suburban Hospital

Acute Care Hospitals · Bethesda, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210022
Location8600 Old Georgetown RoadBethesda, MD 20814 · Montgomery County
Emergency services

Johns Hopkins Bayview Medical Center

Acute Care Hospitals · Baltimore, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210029
Location4940 Eastern AvenueBaltimore, MD 21224 · Baltimore City County
Emergency services Birthing friendly

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.

74.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.71
Promoting Interoperability97
Improvement Activities40
Cost52.43

Other Providers at the Same Location NPPES 16

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

DR. MICHELLE SCHNABEL HORNER D.O.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
5500 E LOMBARD ST
BALTIMORE, MD 21224
Baltimore City (410) 550-0091
DR. CHRISTOPHER JOSEPH HAMMOND M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
5500 E LOMBARD ST
BALTIMORE, MD 21224
Baltimore City (410) 550-0018
JOHNS HOPKINS UNIVERSITY
Counselor (Mental Health)
5500 E LOMBARD ST
BALTIMORE, MD 21224
Baltimore City (410) 550-0104
HECTOR OPULENCIA LCPC
Counselor (Professional)
5500 E LOMBARD ST
BALTIMORE, MD 21224
Baltimore City (410) 550-5840
JOHNS HOPKINS BAYVIEW MED CTR INC
Clinic/Center (Mental Health (Including Community Mental Health Center))
5500 E LOMBARD ST
BALTIMORE, MD 21224
Baltimore City (410) 550-0070
TIFFANY RENE ADAMS LCSW-C
Social Worker (Clinical)
5500 E LOMBARD ST
BALTIMORE, MD 21224
Baltimore City (104) 550-0019
PARAMITA DUTTA RAY
Student in an Organized Health Care Education/Training Program
5500 E LOMBARD ST
BALTIMORE, MD 21224
Baltimore City (410) 550-0104
JOHNS HOPKINS BAYVIEW MEDICAL CENTER
Community/Behavioral Health
5500 E LOMBARD ST
BALTIMORE, MD 21224
Baltimore City (410) 550-0070

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 Durga Roy's NPI number?

The NPI number for Durga Roy is 1427293000. It was assigned to this individual provider in the NPPES registry on December 10, 2008.

Where is Durga Roy located?

Durga Roy practices at 5500 E Lombard St, Baltimore, MD 21224. The listed phone number is (410) 550-0016.

What is Durga Roy's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychosomatic Medicine, with taxonomy code 2084P0015X.

Is Durga Roy enrolled in Medicare?

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

Which organization bills Medicare for Durga Roy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Durga Roy reassigns Medicare benefits to Johns Hopkins University (Baltimore, MD). 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 Durga Roy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Durga Roy affiliated with any hospitals?

According to CMS data, Durga Roy is affiliated with Suburban Hospital and Johns Hopkins Bayview Medical Center.

When was this NPI record last updated?

The NPPES record for Durga Roy was last updated on November 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.