Active NPI
Kevin Roy, MD
- Family Medicine Physician
- Saginaw, MI
National Provider Identifier
1093061350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301101769
- Practice address
- 2435 Midland Rd
Saginaw, MI 48603-3445 - Phone
- (989) 577-7002
- Fax
- (989) 790-6927
- NPI assigned
- Jul 24, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301101769 | MI | Primary |
Addresses
Primary practice location
2435 Midland Rd
Saginaw, MI 48603-3445
Mailing address
2435 Midland Rd
Saginaw, MI 48603-3445
Phone (989) 577-7002
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kroy14997@direct.covenanthealthcare.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151119000192 | MI | Practitioner - Family Practice | 9032419312 | Practice locations: Saginaw, MI |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2435 Midland Rd
Saginaw, MI 48603-3445
Phone (989) 577-7002
Hospital & facility affiliations
- Covenant at Home
- Covenant Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 42 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kevin Roy MD | Family Medicine | Current | Accepting new patients |
Locations
2435 Midland Rd
Saginaw, MI 48603
Phone (989) 577-7002
Interoperability endpoints
- kroy14997@direct.covenanthealthcare.com
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.
-
- Family Medicine Physician
- Saginaw, MI
- NPI 1558071274
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saginaw, MI
- NPI 1588656946
-
- Home Health Agency
- Saginaw, MI
- NPI 1073595245
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616716800000",
"number": "1093061350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2435 MIDLAND RD",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486033445",
"telephone_number": "989-577-7002",
"fax_number": "989-790-6927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2435 MIDLAND RD",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486033445",
"telephone_number": "989-577-7002",
"fax_number": "989-790-6927"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROY",
"first_name": "KEVIN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-07-24",
"last_updated": "2021-03-26",
"certification_date": "2021-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301101769",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kroy14997@direct.covenanthealthcare.com",
"affiliation": "N",
"address_1": "2435 Midland Rd",
"city": "Saginaw",
"state": "MI",
"country_code": "US",
"postal_code": "486033445",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saginaw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; 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.