Active NPI
Kaushik Roy, M.D.
- Psychiatry Physician
- Hartford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 056652
- Practice address
- 200 Retreat Ave
Hartford, CT 06106-3309 - Phone
- (860) 545-7200
- NPI assigned
- Dec 16, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 056652 | CT | Primary |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 056652 | CT | |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
200 Retreat Ave
Hartford, CT 06106-3309
Mailing address
200 Retreat Ave
Hartford, CT 06106-3309
Phone (860) 545-7200
Other practice location 1
8900 Van Wyck Expressway
Jamaica Hospital Medical Center
Jamaica, NY 11418
Phone (718) 206-6000 ext. 7708
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 97.13 of 100
- Quality
- 82.27
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056652 | CT | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Luke's Physician Group, Inc. | Current | Accepting new patients | |
| St. Luke's Physician Group, Inc. | Psychiatry | Current | Accepting new patients |
| Eastern Pennsylvania Physician Alliance LLC | Child & Adolescent Psychiatry | Current | Accepting new patients |
| Penn Foundation Inc | Current | Accepting new patients | |
| St Luke's Physician Group Inc | Current | Accepting new patients |
Locations
1107 Eaton Ave
Bethlehem, PA 18018
Phone (610) 954-3012
2 Hospital Dr
Clarion, PA 16214
Phone (800) 253-4906
801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200
722 E Butler Pike
Maple Glen, PA 19002
Phone (215) 643-7800
4641 E Roosevelt Blvd
Philadelphia, PA 19124
Phone (215) 831-4600
807 Lawn Ave
Sellersville, PA 18960
Interoperability endpoints
- roy.kaushik@slpg.direct-sluhn.org
Organizations & group practices 5
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.
-
- Neurology Physician
- Clarion, PA
- NPI 1902440621
Child & Adolescent Psychiatry
-
- Community/Behavioral Health Agency
- Sellersville, PA
- NPI 1073572715
-
dba St. Luke's Primary Care Orwigsburg
- Family Medicine Physician
- Orwigsburg, PA
- NPI 1710845144
-
dba St. Luke's Psychiatric Associates - Bowmanstown
- Psychiatry Physician
- Bowmanstown, PA
- NPI 1376107235
-
dba South Mountain Family Practice
- Family Medicine Physician
- Bethlehem, PA
- NPI 1700984622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518912000000",
"number": "1205234754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 RETREAT AVE",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061063309",
"telephone_number": "860-545-7200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 RETREAT AVE",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061063309",
"telephone_number": "860-545-7200"
}
],
"practiceLocations": [
{
"address_1": "8900 VAN WYCK EXPRESSWAY",
"address_2": "JAMAICA HOSPITAL MEDICAL CENTER",
"address_purpose": "LOCATION",
"city": "JAMAICA",
"state": "NY",
"postal_code": "11418",
"country_code": "US",
"telephone_number": "718-206-6000 x7708",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROY",
"first_name": "KAUSHIK",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-12-16",
"last_updated": "2018-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CT",
"license": "056652",
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "CT",
"license": "056652",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2018; 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.