Individual provider Active NPI

Ranjan Shanti Roy, PH.O., M.D.

  • Neurological Surgery Physician
  • Salisbury, NC
National Provider Identifier
1205830221
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
9500208 Issued in NC
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

Updated by the provider on Nov 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8973488MedicaidNC

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
9500208NCMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Nov 1, 2022 Accepting new patients
Novant Health Medical Group, LLC Neurological Surgery CurrentSince Nov 1, 2022 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

  • Direct secure messaging: 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.

View all 25

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 1987
Medicare assignment
May accept Medicare assignment
Group practices
Carolina Physical Therapy Associates LLC 496 clinicians
Comprehab, Inc 376 clinicians
Select Physical Therapy Holdings Inc 1,992 clinicians
Novant Health Medical Group, LLC 2,413 clinicians

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 Hospital, Salisbury, NC, CCN 340015

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion171
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

Verify at the official NPI Registry.