Active NPI
Suja Roy, RN, CRNP
- Family Nurse Practitioner
- Baltimore, MD
National Provider Identifier
1265488431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R139820
- Practice address
- 2700 N Charles St
Baltimore, MD 21218-4300 - Phone
- (410) 766-1995
- Fax
- (410) 761-6095
- NPI assigned
- May 26, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R139820 | MD | Primary |
Addresses
Primary practice location
2700 N Charles St
Baltimore, MD 21218-4300
Mailing address
8028 Ritchie Hwy
Suite 210B
Pasadena, MD 21122-1075
Phone (410) 766-1995
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5412 Old Court Rd
Randallstown, MD 21133-5104
Phone (410) 766-1995
Merit-based Incentive Payment System (MIPS)
- Final score
- 74.39 of 100
- Quality
- 30.81
- Improvement activities
- 40
- Cost
- 73.54
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
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.
-
- Adult Health Nurse Practitioner
- Pasadena, MD
- NPI 1164473773
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1265488431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8028 RITCHIE HWY",
"address_2": "SUITE 210B",
"city": "PASADENA",
"state": "MD",
"postal_code": "211221075",
"telephone_number": "410-766-1995",
"fax_number": "410-761-6095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 N CHARLES ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212184300",
"telephone_number": "410-766-1995",
"fax_number": "410-761-6095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROY",
"first_name": "SUJA",
"credential": "RN, CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-26",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R139820",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.