DURGA ROY NPI 1427293000

Psychiatry & Neurology (Psychosomatic Medicine) in Baltimore, MD

NPI 1427293000 Individual Female Years of Experience 13 Psychiatry & Neurology Psychosomatic Medicine PECOS Enrolled Accepts Medicare Approved Payment

About DURGA ROY

Durga Roy is a provider established in Baltimore, Maryland and her medical specialization is psychiatry & neurology (psychosomatic medicine) with more than 13 years of experience. She graduated from University Of New Mexico School Of Medicine in 2008. The NPI number of Durga Roy is 1427293000 and was assigned on December 2008. The practitioner's primary taxonomy code is 2084P0015X with license number D74640 (MD). The provider is registered as an individual and her NPI record was last updated one year ago.

Durga Roy is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Durga Roy is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with Johns Hopkins Bayview Medical Center, Sibley Memorial Hospital and Suburban Hospital.

NPI

1427293000

Provider Name DURGA ROY
Provider Location Address5500 E LOMBARD ST BALTIMORE, MD 21224
Provider Mailing Address9910 FRANKLIN SQUARE DR STE 2110 BALTIMORE, MD 21236
GenderFemale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
Graduation Year2008
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date12-10-2008
Last Update Date11-17-2020


Primary Taxonomy

Taxonomy Code2084P0015X
ClassificationPsychiatry & Neurology
TypeAllopathic & Osteopathic Physicians
SpecializationPsychosomatic Medicine
License No.D74640
License StateMD
Taxonomy DescriptionPsychosomatic 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.

Business Address

DURGA ROY
5500 E LOMBARD ST
BALTIMORE, MD
ZIP 21224
Phone: (410) 550-0016
Fax: (410) 550-1748

Get Directions


Mailing Address

DURGA ROY
9910 FRANKLIN SQUARE DR STE 2110
BALTIMORE, MD
ZIP 21236
Phone: (410) 933-6423



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID5991941478
PECOS Enrollment IDI20130816000709, I20190731001286
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Durga Roy is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
JOHNS HOPKINS BAYVIEW MEDICAL CENTER4940 EASTERN AVENUE
BALTIMORE, MD 21224
(410) 550-0123Acute Care Hospitals210029
SIBLEY MEMORIAL HOSPITAL5255 LOUGHBORO RD NW
WASHINGTON, DC 20016
(202) 537-4680Acute Care Hospitals90005
SUBURBAN HOSPITAL8600 OLD GEORGETOWN ROAD
BETHESDA, MD 20814
(301) 896-2576Acute Care Hospitals210022

Other Providers at the same location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003000431DR. MICHELLE SCHNABEL HORNER D.O.
Individual
Psychiatry & Neurology (Child & Adolescent Psychiatry)5500 E LOMBARD ST
BALTIMORE, MD 21224
(410) 550-0091
1184962912 TIFFANY RENE ADAMS LCSW-C
Individual
Social Worker (Clinical)5500 E LOMBARD ST
BALTIMORE, MD 21224
(104) 550-0019
1639437668 HAL KRONSBERG MD
Individual
Psychiatry & Neurology (Child & Adolescent Psychiatry)5500 E LOMBARD ST
BALTIMORE, MD 21224
(410) 550-0951
1073071536 HECTOR OPULENCIA LCPC
Individual
Counselor (Professional)5500 E LOMBARD ST
BALTIMORE, MD 21224
(410) 550-5840
1447583208DR. WILLIAM ERWIN NARROW M.D.
Individual
Psychiatry & Neurology (Psychiatry)5500 E LOMBARD ST
BALTIMORE, MD 21224
(410) 550-9618
1922636026 SUSANNE CONGRESS LMSW
Individual
Social Worker5500 E LOMBARD ST
BALTIMORE, MD 21224
(914) 715-4420
1497142723 NATALIE GUKASYAN MD
Individual
Psychiatry & Neurology (Psychiatry)5500 E LOMBARD ST
BALTIMORE, MD 21224
(410) 550-5000

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.