Individual provider Active NPI

Madhurina Roy, M.D

  • Internal Medicine Physician
  • Everett, WA
National Provider Identifier
1013056787
Registry record updated Apr 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD00037174 Issued in WA
Practice address
9505 19TH Ave SE
Ste 100
Everett, WA 98208-3843
Phone
(425) 225-6721
Fax
(425) 225-6725
NPI assigned
Feb 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD00037174 WA Primary

Addresses

Primary practice location

9505 19TH Ave SE
Ste 100
Everett, WA 98208-3843

Mailing address

9505 19TH Ave SE
Ste 100
Everett, WA 98208-3843
Phone (425) 225-6721

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040422000499 WA Practitioner - Internal MedicinePractitioner - General PracticePractitioner - Family PracticePractitioner - Obstetrics/GynecologyPractitioner - Diagnostic RadiologyPractitioner - Emergency Medicine 8729074125 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Diagnostic Radiology, Emergency Medicine, Family Practice, General Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rina Roy MDPCGroup PAC ID 1658367057, 2 clinicians

Practice addresses (Care Compare)

9505 19TH Ave SE
Suite 100
Everett, WA 98208-3843
Phone (425) 225-6721

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460592000000",
    "number": "1013056787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9505 19TH AVE SE",
            "address_2": "STE 100",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982083843",
            "telephone_number": "425-225-6721",
            "fax_number": "425-225-6725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9505 19TH AVE SE",
            "address_2": "STE 100",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982083843",
            "telephone_number": "425-225-6721",
            "fax_number": "425-225-6725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROY",
        "first_name": "MADHURINA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2016-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00037174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

Verify at the official NPI Registry.