Clyde R Roy III, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

016789 Issued in LA

Practice address

602 N Lewis St
Suite 400
New Iberia, LA 70563-2093

Phone

(337) 365-4113

Fax

(307) 365-4115

NPI assigned

Jul 6, 2005

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/ibermed-05842f36

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.

• Iberia Medical Center Physician Practice Network

  • Family Medicine Physician
  • New Iberia, LA
  • NPI 1518265297
  Medicare reassignment NPD
• Hospital Service District No. 1 of Iberia Parish

  dba Iberia Medical Center

  • General Acute Care Hospital
  • New Iberia, LA
  • NPI 1780690180
  NPD

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

{
    "created_epoch": "1120608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1720085699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 N LEWIS ST",
            "address_2": "SUITE 400",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705632093",
            "telephone_number": "337-365-4113",
            "fax_number": "307-365-4115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 N LEWIS ST",
            "address_2": "SUITE 400",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705632093",
            "telephone_number": "337-365-4113",
            "fax_number": "307-365-4115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROY",
        "first_name": "CLYDE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-06",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "LA",
            "license": "016789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1969290",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Mark Romero, ATC
• Danielle L. Rose, O.T.
• Timothy John Rose, D.C.
• Le'Reyarn Rosemond
• Seth Daniel Rosenzweig, MD
• David Elliot Roy, D.D.S.
• Gladys Greene Roy, REGISTERED NURSE
• Royal Nursing Services, Inc
• Justin Rozas II, NP
• Nicole Runyan-Johanson, FNP-C

• Urology Physician in New Iberia, LA
• Providers in New Iberia, LA by specialty
• Urology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.