Individual provider Active NPI

Kevin Roy, MD

  • Family Medicine Physician
  • Saginaw, MI
National Provider Identifier
1093061350
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301101769 Issued in MI
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

Updated by the provider on Mar 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Home health agency, Saginaw, MI, CCN 237431
  • Covenant Medical Center Hospital, Saginaw, MI, CCN 230070

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions42
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kevin Roy MD Family Medicine CurrentSince Dec 13, 2022 Accepting new patients

Locations

2435 Midland Rd
Saginaw, MI 48603
Phone (989) 577-7002

Interoperability endpoints

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.