DR. PRAKASH N ROY M.D.
NPI 1992754808
Internal Medicine - Nephrology in Poland, OH

Active since May 08, 2006PECOS EnrolledAccepts Medicare Assignment
807 SOUTHWESTERN RUN, POLAND, OH 44514(330) 729-0059(330) 729-9297 Get Directions Write a Review

NPPES record last updated: October 21, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Prakash N Roy M.d. NPPES

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

DR. PRAKASH N ROY M.D. (NPI 1992754808) is an individual nephrology provider in Poland, Ohio, licensed in Ohio (35-090547) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Youngstown Hospital, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1992754808
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. PRAKASH N ROYCredential: M.D.
Location Address807 SOUTHWESTERN RUNPoland, OH 44514-3688
Mailing Address807 Southwestern RunPoland, OH 44514-3688 · (330) 729-0059 · Fax (330) 729-9297
Fax(330) 729-9297
Sole ProprietorYes
Medical School CMSOtherGraduated 1989
Enumeration DateMay 8, 2006
Last NPPES UpdateOctober 21, 2014
NPI 1992754808 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 OH · 35-090547
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.

807 SOUTHWESTERN RUN, Poland, OH 44514

Other Identifiers 3

Medicare UPING68060
Medicare ID-Type Unspecified277319NE
Medicaid91175934813NE

Accepted 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

Dr. Prakash N Roy M.d. 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 ID7113911579
PECOS Enrollment IDI20080111000260
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 15

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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
441 services114 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.
439 services299 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.
191 services100 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.
170 services149 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
145 services88 patients
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.
115 services70 patients

Hospital Affiliations CMS Care Compare 5

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

St Elizabeth Youngstown Hospital

Acute Care Hospitals · Youngstown, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360064
Location1044 Belmont AvenueYoungstown, OH 44501 · Mahoning County
Emergency services

Mh St Joseph Warren Hospital

Acute Care Hospitals · Warren, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360161
Location667 Eastland Ave SEWarren, OH 44484 · Trumbull County
Emergency services Birthing friendly

Salem Regional Medical Center

Acute Care Hospitals · Salem, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360185
Location1995 East State StreetSalem, OH 44460 · Columbiana County
Emergency services

Hmhp St Elizabeth Boardman Health Center

Acute Care Hospitals · Boardman, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360276
Location8401 Market StreetBoardman, OH 44512 · Mahoning County
Emergency services Birthing friendly

Surgical Hospital At Southwoods

Acute Care Hospitals · Youngstown, OH
5/5 CMS rating
OwnershipProprietary
CMS Certification Number360352
Location7630 Southern BlvdYoungstown, OH 44512 · Mahoning County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44514 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES 15

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

Internal Medicine (Nephrology)
807 SOUTHWESTERN RUN
YOUNGSTOWN, OH 44514
Nurse Practitioner (Acute Care)
807 SOUTHWESTERN RUN
YOUNGSTOWN, OH 44514
Nurse Practitioner
807 SOUTHWESTERN RUN
POLAND, OH 44514
Nurse Practitioner (Family)
807 SOUTHWESTERN RUN
YOUNGSTOWN, OH 44514
Internal Medicine (Nephrology)
807 SOUTHWESTERN RUN
POLAND, OH 44514
Internal Medicine (Nephrology)
807 SOUTHWESTERN RUN
POLAND, OH 44514
Nurse Practitioner (Acute Care)
807 SOUTHWESTERN RUN
YOUNGSTOWN, OH 44514
Nurse Practitioner (Family)
807 SOUTHWESTERN RUN
YOUNGSTOWN, OH 44514

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 Prakash Roy's NPI number?

The NPI number for Prakash Roy is 1992754808. It was assigned to this individual provider in the NPPES registry on May 8, 2006.

Where is Prakash Roy located?

Prakash Roy practices at 807 Southwestern Run, Poland, OH 44514. The listed phone number is (330) 729-0059.

What is Prakash Roy's specialty?

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

Is Prakash Roy enrolled in Medicare?

Yes. Prakash 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.

What insurance does Prakash Roy accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and UnitedHealthcare list Prakash Roy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Prakash Roy affiliated with any hospitals?

According to CMS data, Prakash Roy is affiliated with St Elizabeth Youngstown Hospital, Mh St Joseph Warren Hospital, Salem Regional Medical Center, Hmhp St Elizabeth Boardman Health Center and Surgical Hospital At Southwoods.

When was this NPI record last updated?

The NPPES record for Prakash Roy was last updated on October 21, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.