Individual provider Active NPI

Sumon Roy, MD

  • Interventional Cardiology Physician
  • Brockton, MA
National Provider Identifier
1447601109
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
1019836 Issued in MA
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3147613MedicaidNH
110216077AMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211110002801 VA Practitioner - Internal Medicine 4284979626 Reassigns benefits to 1 organization
I20241203001628 MA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 4284979626 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Boston University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evans Medical Foundation IncGroup PAC ID 7416946546, 525 clinicians
BMC Affiliated Physicians, Inc.Group PAC ID 9830133123, 543 clinicians

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting80

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101266788VAMDInternal Medicine Physician
D0093902MDMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
BMC Affiliated Physicians, Inc. Internal Medicine CurrentSince Apr 1, 2025 Accepting new patients
Steward Medical Group, Inc CurrentSince Dec 20, 2024 Accepting new patients
Steward Medical Group, Inc CurrentSince Dec 20, 2024 Accepting new patients
Vibra Physicians LLC CurrentSince Oct 1, 2021 Accepting new patients
Evans Medical Foundation, Inc. Internal Medicine CurrentSince Nov 21, 2024 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

  • Direct secure messaging: sroy74289@direct.bmc.masshiway.net
  • Direct secure messaging: 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.

Hospital & facility affiliations 11

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

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",
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            "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

Verify at the official NPI Registry.