Active NPI
Richard A. Roy, M.D.
- Urology Physician
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 35-06-0013-R
- Practice address
- 3100 Plaza Properties Blvd
Suite 320
Columbus, OH 43219-1531 - Phone
- (614) 751-1010
- Fax
- (614) 751-4692
- NPI assigned
- Jul 5, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 35060013 | OH | |
| Urology Physician | 208800000X | 35-06-0013-R | OH | Primary |
Addresses
Primary practice location
3100 Plaza Properties Blvd
Suite 320
Columbus, OH 43219-1531
Mailing address
3100 Plaza Properties Blvd
Suite 320
Columbus, OH 43219-1531
Phone (614) 751-1010
Other practice location 1
1980 Tamarack Rd
Newark, OH 43055-1363
Phone (220) 564-7521
Other practice location 2
1980 Tamarack Rd
Newark, OH 43055-1363
Phone (220) 564-7521
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0792049 | Medicaid | OH | |
| 0347841 | Other | OH | RAILROAD MEDICARE |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rroy26299@lickingmemorial.medicity.net | Other | LICKING MEMORIAL PROFESSIONAL CORPORATION |
| Direct Messaging Address | rroy26299@lickingmemorial.medicity.net | Other | LICKING MEMORIAL PROFESSIONAL CORPORATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1980 Tamarack Rd
Newark, OH 43055-1363
Phone (220) 564-7520
Hospital & facility affiliations
- Licking Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.98 of 100
- Quality
- 75.66
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.38
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35060013 | OH | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Licking Memorial Professional Corporation | Current | Accepting new patients | |
| Licking Memorial Health Professionals | Current | Accepting new patients | |
| Licking Memorial Professional Corporation | Current | Accepting new patients |
Locations
120 McMillen Dr
Newark, OH 43055
Phone (220) 564-4806
1980 Tamarack Rd
Newark, OH 43055
Phone (220) 564-7520
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Newark, OH
- NPI 1326072265
-
- Durable Medical Equipment & Medical Supplies
- Newark, OH
- NPI 1326436510
-
- Anesthesiology Physician
- Newark, OH
- NPI 1376585430
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newark, OH
- NPI 1568446755
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679616000000",
"number": "1366449464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 PLAZA PROPERTIES BLVD",
"address_2": "SUITE 320",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432191531",
"telephone_number": "614-751-1010",
"fax_number": "614-751-4692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 PLAZA PROPERTIES BLVD",
"address_2": "SUITE 320",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432191531",
"telephone_number": "614-751-1010",
"fax_number": "614-751-4692"
}
],
"practiceLocations": [
{
"address_1": "1980 Tamarack Rd",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "OH",
"postal_code": "430551363",
"country_code": "US",
"telephone_number": "220-564-7521",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1980 Tamarack Rd",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "OH",
"postal_code": "430551363",
"country_code": "US",
"telephone_number": "220-564-7521",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROY",
"first_name": "RICHARD",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-05",
"last_updated": "2023-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "OH",
"license": "35060013",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "OH",
"license": "35-06-0013-R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0792049",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "0347841",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rroy26299@lickingmemorial.medicity.net",
"affiliation": "Y",
"endpointDescription": "DIRECT EMAIL ADDRESS",
"affiliationName": "LICKING MEMORIAL PROFESSIONAL CORPORATION",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "OTHER",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "OTHER",
"address_1": "1980 Tamarack Rd",
"city": "Newark",
"state": "OH",
"country_code": "US",
"postal_code": "430551363",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rroy26299@lickingmemorial.medicity.net",
"affiliation": "Y",
"endpointDescription": "DIRECT EMAIL ADDRESS",
"affiliationName": "LICKING MEMORIAL PROFESSIONAL CORPORATION",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "OTHER",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "OTHER",
"address_1": "1980 Tamarack Rd",
"city": "Newark",
"state": "OH",
"country_code": "US",
"postal_code": "430551363",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; 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.