Individual provider Active NPI

Amit Roy, M.D.

  • Radiation Oncology Physician
  • Saint Louis, MO
National Provider Identifier
1750813960
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
2022005512 Issued in MO
Practice address
607 S New Ballas Rd
Saint Louis, MO 63141-8222
Phone
(314) 251-6400
NPI assigned
Mar 28, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 036159841 IL
Radiation Oncology Physician 2085R0001X 04-46207 KS
Radiation Oncology Physician 2085R0001X 2022005512 MO Primary

Addresses

Primary practice location

607 S New Ballas Rd
Saint Louis, MO 63141-8222

Mailing address

11475 Olde Cabin Rd Ste 200
Saint Louis, MO 63141-7129

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220627000750 MO Practitioner - Radiation Oncology 5294002028 Reassigns benefits to 2 organizations
I20220706000426 IL Practitioner - Radiation Oncology 5294002028 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Missouri, Kansas City, School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
West County Radiological Group IncGroup PAC ID 8527966944, 105 clinicians

Practice addresses (Care Compare)

607 S New Ballas Rd
Saint Louis, MO 63141-8222
Phone (314) 251-6844

6836 State Route 162
Maryville, IL 62062-8500
Phone (618) 288-9044

901 Patients 1St Dr
Washington, MO 63090-4700
Phone (636) 231-6252

Hospital & facility affiliations

  • Mercy Hospital St Louis Hospital, Saint Louis, MO, CCN 260020
  • Mercy Hospital Washington Hospital, Washington, MO, CCN 260052
  • Anderson Hospital Hospital, Maryville, IL, CCN 140289
  • Mercy Hospital South Hospital, Saint Louis, MO, CCN 260077
  • Hermann Area District Hospital Hospital, Hermann, MO, CCN 261314

Merit-based Incentive Payment System (MIPS)

Final score
84.77 of 100Reported as group
Quality
86.95
Improvement activities
40
Cost
73.15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036159841ILMDRadiation Oncology Physician
04-46207KSMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West County Radiological Group, Inc. Radiation Oncology CurrentSince Aug 1, 2022 Accepting new patients

Locations

6836 State Route 162
Maryville, IL 62062
Phone (618) 277-5882

1350 US Highway 61
Crystal Cty, MO 63028
Phone (636) 931-3655

10050 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1688

607 S New Ballas Rd
Ste T1275
Saint Louis, MO 63141
Phone (314) 251-6844

11475 Olde Cabin Rd
Ste 200
Saint Louis, MO 63141
Phone (314) 991-8200

607 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4283

615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687

901 Patients First Dr
Washington, MO 63090
Phone (636) 239-7500

901 E 5th St
Washington, MO 63090
Phone (636) 239-8000

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1750813960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11475 OLDE CABIN RD STE 200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 S NEW BALLAS RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418222",
            "telephone_number": "314-251-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROY",
        "first_name": "AMIT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-28",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "IL",
            "license": "036159841",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "KS",
            "license": "04-46207",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MO",
            "license": "2022005512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.