Kanak Roy, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101033666 Issued in VA

Practice address

2020 S Independence Blvd
Virginia Beach, VA 23453-4776

Phone

(757) 471-3100

Fax

(757) 471-3624

NPI assigned

Sep 27, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Family & Internal Medical CNTR

  • Family Medicine Physician
  • Virginia Beach, VA
  • NPI 1104917145
  NPD

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279065600000",
    "number": "1861583841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 58TH ST",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234512203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 S INDEPENDENCE BLVD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234534776",
            "telephone_number": "757-471-3100",
            "fax_number": "757-471-3624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROY",
        "first_name": "KANAK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2010-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101033666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5605962",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chelsea Rowe, OTR/L
• Heather M Rowe, M.D.
• John Charles Rowe Jr., NP
• Adela Roxas, PH.D.
• Carl P Roy, D.D.S.
• Raquel Royal
• Karen Worth Royall, DPT
• Royalties Helping Hands Home Health LLC
• Royalty Comfort Hands Healthcare LLC
• Royalty Family Home Care LLC

• Family Medicine Physician in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.