Individual provider Active NPI

Patricia J Roy, DO

  • Family Medicine Physician
  • Muskegon, MI
National Provider Identifier
1770580045
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101008446 Issued in MI
Practice address
1864 Lakeshore Dr
Muskegon, MI 49441-1607
Phone
(231) 755-1628
Fax
(231) 755-5279
NPI assigned
Jul 1, 2005
Last updated
Feb 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101008446 MI Primary

Addresses

Primary practice location

1864 Lakeshore Dr
Muskegon, MI 49441-1607

Mailing address

1864 Lakeshore Dr
Muskegon, MI 49441-1607
Phone (231) 755-1628

Other identifiers 2

IdentifierTypeStateIssuer
0156100264OtherMIBCBS
2607827/11MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address patricia.roy@prdp.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20070604000430 MI Practitioner - Family Practice 8224136916 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Osteopathic Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1864 Lakeshore Dr
Muskegon, MI 49441-1607
Phone (231) 755-1648

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Patricia Roy D.O. PC Family Medicine CurrentSince Jan 18, 1990 Accepting new patients

Locations

1864 Lakeshore Dr
Muskegon, MI 49441
Phone (231) 755-1628

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FACACA/Endpoint/FACACA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1770580045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1864 LAKESHORE DR",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494411607",
            "telephone_number": "231-755-1628",
            "fax_number": "231-755-5279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1864 LAKESHORE DR",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494411607",
            "telephone_number": "231-755-1628",
            "fax_number": "231-755-5279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROY",
        "first_name": "PATRICIA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-01",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101008446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0156100264",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2607827/11",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "patricia.roy@prdp.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "Patricia Roy DO Muskegon, MI Direct email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "TIFF",
            "address_1": "1864 Lakeshore Dr",
            "city": "Muskegon",
            "state": "MI",
            "country_code": "US",
            "postal_code": "494411607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

Verify at the official NPI Registry.