Active NPI
Sunil C. Roy, M.D.
- Surgery Physician
- Whitesburg, KY
National Provider Identifier
1720073091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 22189
- Practice address
- 214 Hospital Rd
Suite a
Whitesburg, KY 41858-7627 - Phone
- (606) 633-2255
- Fax
- (606) 633-3814
- NPI assigned
- Sep 13, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 22189 | KY | Primary |
| Surgery Physician | 208600000X | 0101036968 | VA |
Addresses
Primary practice location
214 Hospital Rd
Suite a
Whitesburg, KY 41858-7627
Mailing address
PO Box 983
255 Main Street
Whitesburg, KY 41858-0983
Phone (606) 633-2261
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64221898 | Medicaid | KY |
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 |
|---|---|---|---|
| 0101036968 | VA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260144000000",
"number": "1720073091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 983",
"address_2": "255 MAIN STREET",
"city": "WHITESBURG",
"state": "KY",
"postal_code": "418580983",
"telephone_number": "606-633-2261",
"fax_number": "606-633-9643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 HOSPITAL RD",
"address_2": "SUITE A",
"city": "WHITESBURG",
"state": "KY",
"postal_code": "418587627",
"telephone_number": "606-633-2255",
"fax_number": "606-633-3814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROY",
"first_name": "SUNIL",
"middle_name": "C.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-13",
"last_updated": "2009-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "KY",
"license": "22189",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "VA",
"license": "0101036968",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64221898",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Whitesburg, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.