Kathyrn Roys Cirillo

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0010-10760 Issued in NC

Practice address

4309 Emperor Blvd Ste 125
Durham, NC 27703-8068

Phone

(919) 941-0158

NPI assigned

Jul 10, 2020

Last updated

Apr 23, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Kathryn Michelle Roys Former name

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Duke University School of Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Imperial Center Family Medicine and Immediate Care PLLCGroup PAC ID 2668639618, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: kathyrn.roys.1@9649.direct.athenahealth.com

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.

• Imperial Center Family Medicine and Immediate Care PLLC

  • Family Medicine Physician
  • Durham, NC
  • NPI 1881714707
  Medicare reassignment Care Compare group
• Vance Family Medicine, PA

  • Rural Health Clinic/Center
  • Henderson, NC
  • NPI 1619938479
  Medicare reassignment

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

{
    "created_epoch": "1594339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1639797186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4309 EMPEROR BLVD STE 125",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277038068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4309 EMPEROR BLVD STE 125",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277038068",
            "telephone_number": "919-941-0158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIRILLO",
        "first_name": "KATHYRN",
        "middle_name": "ROYS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-10",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-10760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "ROYS",
            "middle_name": "MICHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lisa Jane Hannah Cichon, M.D.
• Gilbert Holmes Ciocci
• Aaron Thomas Ciotoli, P.T.
• Justin Michael Taylor Cirar, PA
• Circle of Daughters
• Miguel Antonio Cisneros, LCSW-A
• Sindhura Citineni, DDS
• City of Jesus Promise Land, LLC
• City of Medicine Volunteer Medical Corps
• Citypt Inc

• Medical Physician Assistant in Durham, NC
• Providers in Durham, NC by specialty
• Medical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; 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.

Verify at the official NPI Registry.