Dolly Banerjee Roy, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

A86956 Issued in CA

Practice address

100 Moody CT Ste 100
Thousand Oaks, CA 91360-6096

Phone

(805) 418-3500

NPI assigned

Jan 8, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, AR, NE, TX, IA, OK, WA, IN, KS, GA10 enrollments

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 10

Specialty

Neurology

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Cherokee NationGroup PAC ID 5799698742, 446 clinicians

Baptist Health ServicesGroup PAC ID 0648514133, 103 clinicians

Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

Ccmma Ca PCGroup PAC ID 5991172207, 7 clinicians

Good Samaritan Hospital Physician Services, IncGroup PAC ID 3971671330, 143 clinicians

Warren Clinic IncGroup PAC ID 8820900293, 787 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cherokee Nation W W Hastings Indian Hospital Hospital, Tahlequah, OK, CCN 370171
• Saint Francis Hospital South, LLC Hospital, Tulsa, OK, CCN 370218

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 51)

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/88f6f0ad-680b-460f-ba7c-9dd496dece04/
• Direct secure messaging: droy449142@direct-ehr-ssmhc.com

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.

• Ccmma Ca PC

  • Critical Care Medicine (Anesthesiology) Physician
  • Redding, CA
  • NPI 1679293443

  CA

  Medicare reassignment Care Compare group NPD
• Baptist Health Services

  • Foot & Ankle Surgery Podiatrist
  • Fort Smith, AR
  • NPI 1922587690

  AR

  Medicare reassignment Care Compare group NPD
• Cherokee Nation

  • Multi-Specialty Clinic/Center
  • Sallisaw, OK
  • NPI 1780692723

  TX

  Medicare reassignment Care Compare group NPD
• Good Samaritan Hospital Physician Services, Inc

  • Hospitalist Physician
  • Vincennes, IN
  • NPI 1649432071

  IN

  Medicare reassignment Care Compare group NPD
• Warren Clinic Inc

  • General Practice Physician
  • Tulsa, OK
  • NPI 1174582282

  OK

  Medicare reassignment Care Compare group NPD
• Wellstar Medical Group, LLC

  • Family Medicine Physician
  • Kennesaw, GA
  • NPI 1558664003

  GA

  Medicare reassignment Care Compare group
• Veeone Medical Group II Professional Corporation

  • Critical Care Medicine (Internal Medicine) Physician
  • Roseville, CA
  • NPI 1043928443

  CA, Neurology

  Medicare reassignment NPD
• Veeone Medical Group PA

  • Critical Care Medicine (Internal Medicine) Physician
  • Roseville, CA
  • NPI 1265156558

  CA, IA, NE, Neurology

  Medicare reassignment NPD
• Brodstone Memorial Hospital

  • Rural Health Clinic/Center
  • Superior, NE
  • NPI 1073590626

  CA, Neurology

  Medicare reassignment NPD
• Community Memorial Hospital District

  • Family Medicine Physician
  • Syracuse, NE
  • NPI 1336155134

  NE

  Medicare reassignment NPD
• Creek Nation Hospital & Clinics

  • Clinic/Center
  • Muskogee, OK
  • NPI 1366593923

  OK

  Medicare reassignment NPD
• Creek Nation Hospital & Clinics

  • Family Medicine Physician
  • Okemah, OK
  • NPI 1467053173

  TX

  Medicare reassignment NPD

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

• Cherokee Nation

  • General Acute Care Hospital
  • Tahlequah, OK
  • NPI 1275799645

  Hospital

  Care Compare affiliation
• Cherokee Nation

  • Multi-Specialty Clinic/Center
  • Claremore, OK
  • NPI 1497568968

  Hospital

  Care Compare affiliation
• Saint Francis Hospital South LLC

  • General Acute Care Hospital
  • Tulsa, OK
  • NPI 1376561944

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1053469072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD",
            "address_2": "SUITE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631",
            "telephone_number": "310-301-8707",
            "fax_number": "310-301-8751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MOODY CT STE 100",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913606096",
            "telephone_number": "805-418-3500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5601 De Soto Ave",
            "address_purpose": "LOCATION",
            "city": "Woodland Hills",
            "state": "CA",
            "postal_code": "913676701",
            "country_code": "US",
            "telephone_number": "818-719-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROY",
        "first_name": "DOLLY",
        "middle_name": "BANERJEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2022-07-21",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A86956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie Champagne Roundtree, OTR/L, CHT
• Erin Schroeder Rouse, M.P.T.
• Maddison Mariah Rouse, OTR/L
• Kristen Louise Routh, M.S., LMFT
• Rowi Thousand Oaks LLC
• Royal Home Care, Inc
• Omri Emanuel Royker, PT, DPT
• Zhana Rozman, MA, BCBA
• Luis Fernando Ruano, D.C,
• Nathalie Rubin, M.D.

• All providers in Thousand Oaks, CA
• Neurology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.