Marc Roy, MD
Individual provider Active NPI Family Medicine Physician · Durham, CT
NPI 1720428576 · NPPES record last updated Feb 24, 2021
Key facts
- NPI
- 1720428576
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MT205290 (PA)
- Practice address
- 6 Main St
Durham, CT 06422-2130 - Phone
- (603) 585-0208
- Fax
- (860) 358-8652
- NPI assigned
- Jun 26, 2013
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 6
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- MHS Primary Care, Inc.
Practice addresses (Care Compare)
270 Main St
Suite a
Portland, CT 06480-1836
Phone (860) 358-5040
6 Main St
Durham, CT 06422-2130
Phone (860) 358-5020
Hospital & facility affiliations
- Middlesex Health Care at Home and Hospice Program
- Middlesex Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170809000391 | CT | Practitioner - Family Practice | 8426331208 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT205290 | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MHS Primary Care | Family Medicine | Current |
Accepting new patients |
| MHS Primary Care Inc | Family Medicine | Current |
Accepting new patients |
| MHS Primary Care, Inc | Family Medicine | Current | Accepting new patients |
| Sacred Heart Healthcare System | Family Medicine | Past | Accepting new patients |
Locations
6 Main St
Durham, CT 06422
Phone (860) 349-1058
28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000
270 Main St
Ste A
Portland, CT 06480
Phone (860) 358-5040
Interoperability endpoints
- mroy9881@middlesexhealthprd.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MT205290 | PA | Yes |
Addresses
Primary practice location
6 Main St
Durham, CT 06422-2130
Mailing address
28 Crescent St
Middletown, CT 06457-3654
Other providers in Durham, CT
- Shaun M Patenaude
- Prete Chiropractic Center LLC
- April J Prete
- Toby Rascati
- Jessica Reichbind
- Jennifer P Ryan
- SDM PT Atc LLC
- Jennifer Saucier Simmons
- Holly Simon
- Frances Sites
All providers in Durham, CT · Family Medicine Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.