Active NPI
Somak Roy, MD
- Anatomic Pathology Physician
- Cincinnati, OH
National Provider Identifier
1598068561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology Physician
- License
- MD446376
- Practice address
- 3333 Burnet Ave
ML 1035
Cincinnati, OH 45229-3026 - Phone
- (513) 636-4261
- Fax
- (513) 636-3924
- NPI assigned
- Dec 14, 2010
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Molecular Genetic Pathology (Pathology) Physician | 207ZP0007X | MD446376 | PA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | MT194716 | PA | |
| Anatomic Pathology Physician | 207ZP0101X | MD446376 | PA | Primary |
Addresses
Primary practice location
3333 Burnet Ave
ML 1035
Cincinnati, OH 45229-3026
Mailing address
3333 Burnet Ave
ML 1035
Cincinnati, OH 45229-3026
Phone (513) 636-4261
Other practice location 1
3477 Euler Way
CLB 7028
Pittsburgh, PA 15213
Phone (412) 864-6190
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD446376 | PA | MD | Molecular Genetic Pathology (Pathology) Physician |
| MT194716 | PA | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606953600000",
"number": "1598068561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 BURNET AVE",
"address_2": "ML 1035",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452293026",
"telephone_number": "513-636-4261",
"fax_number": "513-636-3924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 BURNET AVE",
"address_2": "ML 1035",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452293026",
"telephone_number": "513-636-4261",
"fax_number": "513-636-3924"
}
],
"practiceLocations": [
{
"address_1": "3477 Euler Way",
"address_2": "CLB 7028",
"address_purpose": "LOCATION",
"city": "Pittsburgh",
"state": "PA",
"postal_code": "15213",
"country_code": "US",
"telephone_number": "412-864-6190",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROY",
"first_name": "SOMAK",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-12-14",
"last_updated": "2020-12-03",
"certification_date": "2020-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0007X",
"taxonomy_group": "",
"desc": "Pathology, Molecular Genetic Pathology",
"state": "PA",
"license": "MD446376",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PA",
"license": "MT194716",
"primary": false
},
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "PA",
"license": "MD446376",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.