Active NPI
Sumon Roy, MD
- Interventional Cardiology Physician
- Brockton, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 1019836
- Practice address
- 830 Oak St
Ste 205W
Brockton, MA 02301-1191 - Phone
- (508) 583-4440
- Fax
- (508) 583-7401
- NPI assigned
- Jun 23, 2016
- Last updated
- Jul 16, 2026
- 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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101266788 | VA | |
| Internal Medicine Physician | 207R00000X | 1019836 | MA | |
| Cardiovascular Disease Physician | 207RC0000X | 1019836 | MA | |
| Cardiovascular Disease Physician | 207RC0000X | D0093902 | MD | |
| Cardiovascular Disease Physician | 207RC0000X | 0101266788 | VA | |
| Interventional Cardiology Physician | 207RI0011X | 1019836 | MA | Primary |
| Interventional Cardiology Physician | 207RI0011X | D0093902 | MD |
Addresses
Primary practice location
830 Oak St
Ste 205W
Brockton, MA 02301-1191
Mailing address
960 Massachusetts Ave
FL 2
Boston, MA 02118-2690
Other practice location 1
1800 Orleans St, Tower 110
Baltimore, MD 21287
Phone (410) 955-5000
Other practice location 2
15 Roche Brothers Way
Ste 110
North Easton, MA 02356-1000
Phone (781) 792-6500
Other practice location 3
732 Harrison Avenue, FL 3
Preston Building
Boston, MA 02118
Phone (617) 638-7490
Other practice location 4
1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-4000
Other practice location 5
840 Harrison Ave Menino 2nd FL
Room 2635
Boston, MA 02118-2905
Phone (617) 638-8702
Other practice location 6
736 Cambridge St
Brighton, MA 02135-2907
Phone (617) 789-3000
Other practice location 7
VCUHS Dept of Cardiovascular Disease Fellowship, 980509
1250 E. Marshall Street
Richmond, VA 23298-0509
Phone (804) 828-3149
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3147613 | Medicaid | NH | |
| 110216077A | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Boston University School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Boston Medical Ctr PL
Boston, MA 02118-2908
Phone (617) 638-8000
235 N Pearl St
Brockton, MA 02301-1794
Phone (508) 427-3000
72 E Newton St
CR Evans 124
Boston, MA 02118-2308
Phone (617) 638-7253
736 Cambridge St
Brighton, MA 02135-2907
Phone (617) 789-3000
88 E Newton St
Boston, MA 02118-2308
Phone (617) 414-5405
Hospital & facility affiliations
- Good Samaritan Medical Center
- Boston Medical Center-Brighton
- Boston Medical Center
- South Shore Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 80 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101266788 | VA | MD | Internal Medicine Physician |
| D0093902 | MD | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BMC Affiliated Physicians, Inc. | Internal Medicine | Current | Accepting new patients |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Vibra Physicians LLC | Current | Accepting new patients | |
| Evans Medical Foundation, Inc. | Internal Medicine | Current | Accepting new patients |
Locations
5 E River Park Pl E
Ste 460
Fresno, CA 93720
732 Harrison Ave
#3
Boston, MA 02118
Phone (617) 534-4967
732 Harrison Ave
Fl 3
Boston, MA 02118
Phone (617) 638-5350
88 Newton St
Boston, MA 02118
Phone (617) 638-7350
930 Commonwealth Ave
Boston, MA 02215
Phone (617) 262-2020
960 Massachusetts Ave
Ste 2
Boston, MA 02118
11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442
736 Cambridge St
Brighton, MA 02135
Phone (617) 789-2762
77 Warren St
Brighton, MA 02135
Phone (617) 254-1271
235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525
830 Oak St
#250W
Brockton, MA 02301
830 Oak St
Ste 201W
Brockton, MA 02301
Phone (508) 583-4961
830 Oak St
Ste 205W
Brockton, MA 02301
Phone (508) 427-2602
100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157
15 Roche Brothers Way
Ste 110
North Easton, MA 02356
Phone (781) 792-6500
2220 Edward Holland Dr
Richmond, VA 23230
Phone (804) 678-7000
Interoperability endpoints
- sroy74289@direct.bmc.masshiway.net
- sumon.roy.1@2017.direct.athenahealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Boston, MA
- NPI 1245320910
-
dba Boston University Internal Medicine Associates
- Internal Medicine Physician
- Boston, MA
- NPI 1912954124
-
- Specialist
- Watertown, MA
- NPI 1629398219
-
- Specialist
- Brighton, MA
- NPI 1356654495
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Boston Medical Center - Brighton
- General Acute Care Hospital
- Boston, MA
- NPI 1720814072
-
dba Boston Medical Center - South
- General Acute Care Hospital
- Brockton, MA
- NPI 1871329110
-
dba Transitional Care Center and Stabilization Care Center
- General Acute Care Hospital
- Boston, MA
- NPI 1164177028
-
dba South Boston Community Health Center
- Community Health Clinic/Center
- South Boston, MA
- NPI 1225228679
Hospital
-
- General Acute Care Hospital
- Boston, MA
- NPI 1346218294
-
dba Greater Roslindale Medical and Dental Center
- Community Health Clinic/Center
- Roslindale, MA
- NPI 1386718823
Hospital
-
dba Dorchester House Multi Service Center
- Community Health Clinic/Center
- Dorchester, MA
- NPI 1780874677
Hospital
-
dba East Boston Neighborhood Health Center
- Community Health Clinic/Center
- East Boston, MA
- NPI 1861683518
Hospital
-
- General Acute Care Hospital
- South Weymouth, MA
- NPI 1134227606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784160000000",
"number": "1447601109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "960 MASSACHUSETTS AVE",
"address_2": "FL 2",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 OAK ST",
"address_2": "STE 205W",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023011191",
"telephone_number": "508-583-4440",
"fax_number": "508-583-7401"
}
],
"practiceLocations": [
{
"address_1": "1800 Orleans St, Tower 110",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "21287",
"country_code": "US",
"telephone_number": "410-955-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "15 Roche Brothers Way",
"address_2": "Ste 110",
"address_purpose": "LOCATION",
"city": "North Easton",
"state": "MA",
"postal_code": "023561000",
"country_code": "US",
"telephone_number": "781-792-6500",
"fax_number": "781-792-6501",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "732 Harrison Avenue, FL 3",
"address_2": "Preston Building",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "02118",
"country_code": "US",
"telephone_number": "617-638-7490",
"fax_number": "617-414-8742",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1425 Portland Ave",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "NY",
"postal_code": "146213001",
"country_code": "US",
"telephone_number": "585-922-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "840 Harrison Ave Menino 2nd FL",
"address_2": "Room 2635",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021182905",
"country_code": "US",
"telephone_number": "617-638-8702",
"fax_number": "617-638-8770",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "736 Cambridge St",
"address_purpose": "LOCATION",
"city": "Brighton",
"state": "MA",
"postal_code": "021352907",
"country_code": "US",
"telephone_number": "617-789-3000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "VCUHS Dept of Cardiovascular Disease Fellowship, 980509",
"address_2": "1250 E. Marshall Street",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232980509",
"country_code": "US",
"telephone_number": "804-828-3149",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROY",
"first_name": "SUMON",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-23",
"last_updated": "2026-07-16",
"certification_date": "2026-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101266788",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "1019836",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MA",
"license": "1019836",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MD",
"license": "D0093902",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "VA",
"license": "0101266788",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "MA",
"license": "1019836",
"primary": true
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "MD",
"license": "D0093902",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3147613",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110216077A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.