Active NPI
Ranjan Shanti Roy, PH.O., M.D.
- Neurological Surgery Physician
- Salisbury, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 9500208
- Practice address
- 330 Jake Alexander Blvd W Ste 104
Salisbury, NC 28147-1385 - Phone
- (704) 645-0901
- Fax
- (704) 645-0907
- NPI assigned
- Jun 8, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 9500208 | NC | Primary |
Addresses
Primary practice location
330 Jake Alexander Blvd W Ste 104
Salisbury, NC 28147-1385
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8973488 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- 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 |
|---|---|---|---|---|
| I20111216000016 | NC | Practitioner - Neurosurgery | 3678528650 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9500208 | NC | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Neurological Surgery | Current | Accepting new patients |
| Novant Health Medical Group, LLC | Past | Accepting new patients |
Locations
330 Billingsley Rd
Ste 202
Charlotte, NC 28211
Phone (704) 316-2350
11711 Statesville Blvd
Cleveland, NC 27013
Phone (704) 209-7493
330 Jake Alexander Blvd W
Ste 104
Salisbury, NC 28147
Phone (704) 645-0901
5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441
124 Sunset Hill Rd
Statesville, NC 28625
Phone (704) 872-8711
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
Interoperability endpoints
- rroy201175@direct.novanthealth.org
Organizations & group practices 25
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 with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
NC
-
- Rehabilitation Clinic/Center
- Washington, NC
- NPI 1255873972
-
- Rehabilitation Clinic/Center
- Harrisburg, NC
- NPI 1316554397
-
- Rehabilitation Clinic/Center
- Hendersonville, NC
- NPI 1336890086
-
- Rehabilitation Clinic/Center
- Fuquay Varina, NC
- NPI 1447792148
-
- Rehabilitation Clinic/Center
- Denver, NC
- NPI 1619563392
-
- Rehabilitation Clinic/Center
- Chapel Hill, NC
- NPI 1710429543
-
- Rehabilitation Clinic/Center
- Nashville, NC
- NPI 1891237673
-
- Physical Therapist
- Gastonia, NC
- NPI 1407932775
-
- Foot & Ankle Surgery Podiatrist
- Thomasville, NC
- NPI 1235715582
-
- Foot Surgery Podiatrist
- Clemmons, NC
- NPI 1295110906
-
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1306950282
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Salisbury, NC
- NPI 1508843566
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Neurosurgery
- Education
- Other, 1987
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Carolina Physical Therapy Associates LLCComprehab, IncSelect Physical Therapy Holdings IncNovant Health Medical Group, LLC
Practice addresses (Care Compare)
236 Lephillip Court
Suite a
Concord, NC 28025-1917
Phone (419) 221-6717
2675 Court Dr
Gastonia, NC 28054-1478
Phone (704) 824-7800
320 Jake Alexander Blvd W
Suite 106
Salisbury, NC 28147-1442
Phone (704) 636-0052
330 Jake Alexander Blvd W
Suite 104
Salisbury, NC 28147-1385
Phone (704) 645-0901
Hospital & facility affiliations
- Novant Health Rowan Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 171 |
| Laminectomy or laminotomy (partial removal of spine bones) | 62 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668988800000",
"number": "1205830221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 JAKE ALEXANDER BLVD W STE 104",
"city": "SALISBURY",
"state": "NC",
"postal_code": "281471385",
"telephone_number": "704-645-0901",
"fax_number": "704-645-0907"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROY",
"first_name": "RANJAN",
"middle_name": "SHANTI",
"name_prefix": "Mr.",
"credential": "PH.O., M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-08",
"last_updated": "2022-11-21",
"certification_date": "2022-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "NC",
"license": "9500208",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8973488",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salisbury, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 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.