Individual provider Active NPI

Asim Roy, M.D.

  • Sleep Medicine (Internal Medicine) Physician
  • Dublin, OH
National Provider Identifier
1639159767
Registry record updated Jun 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
35097402 Issued in OH
Practice address
4975 Bradenton Ave
Dublin, OH 43017-3521
Phone
(614) 766-0773
Fax
(614) 766-2599
NPI assigned
Jan 17, 2006
Last updated
Jun 19, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 35097402 OH Primary

Addresses

Primary practice location

4975 Bradenton Ave
Dublin, OH 43017-3521

Mailing address

4975 Bradenton Ave
Dublin, OH 43017-3521
Phone (614) 766-0773

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120320001041 OH Practitioner - Neurology 3678586088 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Northeastern Ohio University College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohio Sleep Medicine and Neuroscience Institute IncGroup PAC ID 4183528789, 5 clinicians

Practice addresses (Care Compare)

4975 Bradenton Ave
Dublin, OH 43017-3521

6740 Avery Muirfield Dr
Suite B
Dublin, OH 43017-1238

6740 Avery Muirfield Dr
Suite B
Dublin, OH 43017-1240
Phone (614) 766-0773

Merit-based Incentive Payment System (MIPS)

Final score
96.03 of 100Reported as individual
Quality
92.77
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35097402OHMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Sleep Medicine and Neuroscience Institute, Inc. CurrentSince Feb 5, 2012 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Baystate Medical Practices, Inc PastSince Aug 22, 2017 Accepting new patients

Locations

4975 Bradenton Ave
Dublin, OH 43017
Phone (614) 766-0773

Interoperability endpoints

  • Direct secure messaging: aroy@osmi.gwaydirect.com
  • Direct secure messaging: asim.roy.1@27770.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371600000000",
    "number": "1639159767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4975 BRADENTON AVE",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430173521",
            "telephone_number": "614-766-0773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4975 BRADENTON AVE",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430173521",
            "telephone_number": "614-766-0773",
            "fax_number": "614-766-2599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROY",
        "first_name": "ASIM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2013-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "OH",
            "license": "35097402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

Verify at the official NPI Registry.