Individual provider Active NPI

Anindya Roy, MD

  • Diagnostic Radiology Physician
  • Royal Oak, MI
National Provider Identifier
1083674071
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
4301067895 Issued in MI
Practice address
3601 W 13 Mile Rd
Royal Oak, MI 48073
Phone
(248) 423-2481
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 036167511 IL
Diagnostic Radiology Physician 2085R0202X 4301067895 MI Primary

Addresses

Primary practice location

3601 W 13 Mile Rd
Royal Oak, MI 48073

Mailing address

26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849
Phone (947) 522-1859

Other practice location 1

4201 W Medical Center Dr
McHenry, IL 60050-8409
Phone (815) 334-5566

Other identifiers 2

IdentifierTypeStateIssuer
300F362420OtherMIBCBSM
4748323MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, IL, OH3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20050607001020 MI Practitioner - Diagnostic Radiology 9234172586 Reassigns benefits to 6 organizations
I20240307002637 IL Practitioner - Diagnostic Radiology 9234172586 Reassigns benefits to 1 organization
I20260520004118 OH Practitioner - Diagnostic Radiology 9234172586 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Michigan Medical School, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Omg 1PCGroup PAC ID 4183536238, 20 clinicians
Proscan Imaging Southfield PLLCGroup PAC ID 0446591432, 4 clinicians
MMG 1 PCGroup PAC ID 6103738638, 7 clinicians
Proscan Radiology, LLCGroup PAC ID 5799680807, 59 clinicians
CT at MidtownGroup PAC ID 9335045681, 34 clinicians
Great Lakes Radiology ServicesGroup PAC ID 7113456831, 32 clinicians

Practice addresses (Care Compare)

27483 Dequindre Rd
Suite 101
Madison Heights, MI 48071-3491

27483 Dequindre Rd
Suite 101
Madison Heights, MI 48071-5700
Phone (248) 544-9050

29877 Telegraph Rd
Suite 11
Southfield, MI 48034-1332
Phone (248) 354-5511

29992 Northwestern Hwy
Suite C
Farmington Hills, MI 48334-3292

32255 Northwestern Hwy
Suite 100
Farmington Hills, MI 48334-1573
Phone (248) 945-0000

5400 Kennedy Ave
Cincinnati, OH 45213-2664
Phone (513) 351-3000

6245 Inkster Rd
Garden City, MI 48135-4001
Phone (734) 458-3300

729 W Ann Arbor TRL
Suite 2
Plymouth, MI 48170-6225
Phone (800) 475-6112

Hospital & facility affiliations

  • Garden City Hospital Hospital, Garden City, MI, CCN 230244
  • Northwestern Lake Forest Hospital Hospital, Lake Forest, IL, CCN 140130

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301067895MIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MMG 1 PC CurrentSince Feb 24, 2021 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Feb 1, 2024 Accepting new patients
Northwestern Medical Faculty Foundation Diagnostic Radiology CurrentSince Feb 1, 2024 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince May 1, 2021 Accepting new patients
Proscan Imaging Southfield PLLC Diagnostic Radiology CurrentSince Apr 1, 2024 Accepting new patients
Oakland Medical Group PC Diagnostic Radiology CurrentSince Jul 1, 2021 Accepting new patients
Omg 1 PC Diagnostic Radiology CurrentSince Jul 1, 2021 Accepting new patients
Southfield Radiology Associates, PLLC Diagnostic Radiology Current Accepting new patients
MMG 1 PC Diagnostic Radiology CurrentSince Feb 24, 2021 Accepting new patients
Great Lakes Radiology Services Diagnostic Radiology CurrentSince Feb 7, 2025 Accepting new patients
Southfield Radiology Associates PLLC Diagnostic Radiology CurrentSince Aug 1, 2021 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince May 1, 2021 Accepting new patients
Proscan Womens Imaging at Redbank LLC Diagnostic Radiology PastSince Apr 8, 2026 Accepting new patients
Amd Southfield Michigan - Limited Partnership PastSince Apr 1, 2024 Accepting new patients

Locations

Dept 5777
Carol Stream, IL 60122

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

4201 W Medical Center Dr
McHenry, IL 60050
Phone (815) 759-3100

515 Valley View Dr
Ste 201
Moline, IL 61265
Phone (312) 695-0870

32255 Northwestern Hwy
Ste 100
Farmington Hills, MI 48334
Phone (248) 945-0000

29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430

27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552

28050 Grand River Ave
Farmington Hills, MI 48336
Phone (248) 471-8000

1625 Leonard St NE
Ste C
Grand Rapids, MI 49505
Phone (616) 288-9446

1225 S Latson Rd
Howell, MI 48843
Phone (248) 662-4300

27483 Dequindre Rd
Ste 101
Madison Hts, MI 48071
Phone (248) 544-9050

27483 Dequindre Rd
Madison Hts, MI 48071
Phone (248) 544-9050

26850 Providence Pkwy
Ste 140
Novi, MI 48374
Phone (248) 308-2745

729 W Ann Arbor Trl
Ste 2
Plymouth, MI 48170
Phone (734) 673-3764

1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300

2601 Electric Ave
Port Huron, MI 48060
Phone (810) 216-1500

3601 W 13 Mile Rd
#400
Royal Oak, MI 48073
Phone (248) 423-2481

3601 W 13 Mile Rd
Royal Oak, MI 48073

28625 Northwestern Hwy
Ste 213
Southfield, MI 48034
Phone (248) 354-9666

29877 Telegraph Rd
Ste 11
Southfield, MI 48034
Phone (248) 354-5511

16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000

44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255

Organizations & group practices 17

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.

View all 17

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": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1083674071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD STE 3D",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333849",
            "telephone_number": "947-522-1859",
            "fax_number": "947-522-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 W 13 MILE RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "48073",
            "telephone_number": "248-423-2481"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4201 W Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "McHenry",
            "state": "IL",
            "postal_code": "600508409",
            "country_code": "US",
            "telephone_number": "815-334-5566",
            "fax_number": "815-759-4008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROY",
        "first_name": "ANINDYA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036167511",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301067895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "300F362420",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4748323",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

Verify at the official NPI Registry.