Organization Active NPI

Kelly H. Roy, MD, PC

  • Gynecology Physician
  • Phoenix, AZ
National Provider Identifier
1003099367
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
KELLY H. ROY, MD, PC
Practice address
1008 E McDowell Rd
Phoenix, AZ 85006
Phone
(602) 358-8588
Fax
(602) 688-6991
NPI assigned
Dec 10, 2007
Last updated
Oct 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tracey Vega
Title
Credentialing
Phone
(602) 358-8588

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X
Gynecology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207VG0400X Primary

Addresses

Primary practice location

1008 E McDowell Rd
Phoenix, AZ 85006

Mailing address

1008 E McDowell Rd Ste a
Phoenix, AZ 85006-2603
Phone (602) 358-8588

Other practice location 1

702 E Bell Rd Ste 119
Phoenix, AZ 85022-6639
Phone (602) 358-8588

Other practice location 2

1151 N Gilbert Rd
Mesa, AZ 85203-5127
Phone (602) 358-8588

Other practice location 3

2222 E Highland Ave Ste 205
Phoenix, AZ 85016-4876
Phone (602) 358-8588

Other practice location 4

3105 Clearwater Dr
Prescott, AZ 86305-7166
Phone (602) 358-8588

Other practice location 5

10585 N Tatum Blvd Ste D130
Paradise Valley, AZ 85253-1073
Phone (602) 358-8588

Other names 1

  • Kelly H. Roy, MD, PC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040816000996 AZ Part B Supplier - Clinic/Group Practice 3476526724 Receives reassigned benefits from 29 practitioners
Practice locations: Mesa, AZ; Phoenix, AZ; Prescott, AZ; Scottsdale, AZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D0526645Kelly H Roy, MD, PC2222 E Highland Ave Ste 205, Phoenix, AZ 85016Provider-performed microscopyAug 31, 2026
03D2030208Kelly H Roy, MD, PC1008 E McDowell Rd, Phoenix, AZ 85006Provider-performed microscopySep 22, 2027
03D2166103Kelly H Roy, MD, PC702 E Bell Rd Ste 119, Phoenix, AZ 85022Certificate of waiverMay 12, 2027
03D2192895Kelly H Roy, MD, PC10585 N Tatum Blvd, Ste D130, Paradise Valley, AZ 85253Certificate of waiverSep 14, 2026
03D2287076Kelly H Roy MD PC1151 N Gilbert Rd, Mesa, AZ 85203Certificate of waiverAug 7, 2027

National Provider Directory

National Provider Directory

Locations

4344 E Presidio St
Mesa, AZ 85215
Phone (480) 834-5111

1008 E McDowell Rd
#A
Phoenix, AZ 85006

1008 E McDowell Rd
Ste A
Phoenix, AZ 85006
Phone (602) 241-1944

2222 E Highland Ave
Ste 205
Phoenix, AZ 85016
Phone (600) 235-8588

3410 N 4th Ave
Phoenix, AZ 85013
Phone (602) 241-1944

702 E Bell Rd
Ste 119
Phoenix, AZ 85022
Phone (602) 493-0079

7330 N 16th St
Phoenix, AZ 85020
Phone (602) 279-0000

3106 Clearwater Dr
Prescott, AZ 86305

3301 N Miller Rd
Ste 120
Scottsdale, AZ 85251
Phone (480) 561-5825

9201 E Mountain View Rd
Ste 210
Scottsdale, AZ 85258

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2541/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 54

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 54

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727827200000",
    "number": "1003099367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 E MCDOWELL RD STE A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062603",
            "telephone_number": "602-358-8588",
            "fax_number": "602-688-6991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 E MCDOWELL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85006",
            "telephone_number": "602-358-8588",
            "fax_number": "602-688-6991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "702 E Bell Rd Ste 119",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850226639",
            "country_code": "US",
            "telephone_number": "602-358-8588",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1151 N Gilbert Rd",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852035127",
            "country_code": "US",
            "telephone_number": "602-358-8588",
            "fax_number": "602-688-6991",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2222 E Highland Ave Ste 205",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850164876",
            "country_code": "US",
            "telephone_number": "602-358-8588",
            "fax_number": "602-688-6991",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3105 Clearwater Dr",
            "address_purpose": "LOCATION",
            "city": "Prescott",
            "state": "AZ",
            "postal_code": "863057166",
            "country_code": "US",
            "telephone_number": "602-358-8588",
            "fax_number": "602-688-6991",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10585 N Tatum Blvd Ste D130",
            "address_purpose": "LOCATION",
            "city": "Paradise Valley",
            "state": "AZ",
            "postal_code": "852531073",
            "country_code": "US",
            "telephone_number": "602-358-8588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KELLY H. ROY, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-10",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A",
        "authorized_official_last_name": "VEGA",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "602-358-8588"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kelly H. Roy, MD, PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.