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ANUKUL ROY MD
NPI 1568625796
Internal Medicine in Sioux City, IA

Active since July 08, 2008PECOS EnrolledAccepts Medicare Assignment
801 5TH ST, SIOUX CITY, IA 51101(602) 778-3600(602) 778-3659 Get Directions Write a Review

NPPES record last updated: July 8, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Anukul Roy Md NPPES

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

ANUKUL ROY MD (NPI 1568625796) is an individual internal medicine provider in Sioux City, Iowa, licensed in Iowa (37866) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1568625796
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameANUKUL ROYCredential: MD
Location Address801 5TH STSioux City, IA 51101-1326
Mailing AddressPo Box 708759Sandy, UT 84070-8759 · (801) 352-9500 · Fax (801) 352-7976
Phone(602) 778-3600
Fax(602) 778-3659
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJuly 8, 2008
✔ NPI 1568625796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IA · 37866
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
801 5TH ST, Sioux City, IA 51101
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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

Anukul 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 ID2769540251
PECOS Enrollment IDI20130726000657
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 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 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
482 services169 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
131 services121 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.
121 services39 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.
55 services54 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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 51101 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
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
99%234 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$15.46 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.

MS. KRISTI JO HANSEN P.A.
Physician Assistant
801 5TH ST
SIOUX CITY, IA 51101
Woodbury County (712) 279-2512
KIRSTEN MARIE NEDVED
Nurse Practitioner
801 5TH ST
SIOUX CITY, IA 51101
Woodbury County (712) 294-7020
NICOLE MARIE KASSING
Physical Therapy Assistant
801 5TH ST
SIOUX CITY, IA 51101
Woodbury County (712) 233-5129
MARK EDWARD DAVIS CNP
Nurse Practitioner
801 5TH ST
SIOUX CITY, IA 51101
Woodbury County (712) 279-2010
DR. BRETT C. BIEBER PHARM.D. (RPH)
Pharmacist
801 5TH ST, MERCY MEDICAL CENTER - MAIN PHARMACY
SIOUX CITY, IA 51101
Woodbury County (712) 279-5992
GINGER DAWN HAMILTON FNP
Nurse Practitioner
801 5TH ST
SIOUX CITY, IA 51101
Woodbury County (712) 279-2010
DEBORAH CARTER CRNA
Nurse Anesthetist, Certified Registered
801 5TH ST
SIOUX CITY, IA 51101
Woodbury County (712) 279-2505
DR. PETER JON ANDERSON M.D.
Internal Medicine
801 5TH ST
SIOUX CITY, IA 51101
Woodbury County (712) 279-2010

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 Anukul Roy's NPI number?

The NPI number for Anukul Roy is 1568625796. It was assigned to this individual provider in the NPPES registry on July 8, 2008.

Where is Anukul Roy located?

Anukul Roy practices at 801 5th St, Sioux City, IA 51101. The listed phone number is (602) 778-3600.

What is Anukul Roy's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Anukul Roy enrolled in Medicare?

Yes. Anukul 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 Anukul Roy was last updated on July 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.