Individual provider Active NPI

Samer Noel Roy, MD

  • Specialist
  • West Monroe, LA
National Provider Identifier
1871501338
Registry record updated Nov 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
022930 Issued in LA
Practice address
102,Thomas Road
Suit 504
West Monroe, LA 71291
Phone
(318) 680-9468
Fax
(318) 322-2225
NPI assigned
Aug 3, 2006
Last updated
Nov 2, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 022930 LA Primary

Addresses

Primary practice location

102,Thomas Road
Suit 504
West Monroe, LA 71291

Mailing address

102 Thomas Rd
Suite 400
West Monroe, LA 71291-7366
Phone (318) 322-0100

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20041029000018 LA Practitioner - Internal Medicine 1254393531 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Louisiana State University School of Medicine in Shreveport, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

102 Thomas Rd
Suite 504
West Monroe, LA 71291-5550
Phone (318) 322-0100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
022930LAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Samer N Roy, MD LLC Internal Medicine CurrentSince Oct 3, 2011 Accepting new patients
Radiology Associates a Professional Corporation Past Accepting new patients
Samer N. Roy MD LLC Specialist Past Accepting new patients
Affinity Health Group, LLC Past Accepting new patients
Oliver Road Medical Clinic LLC Past Accepting new patients

Locations

102 Thomas Rd
Ste 504
West Monroe, LA 71291
Phone (318) 322-0100

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JEHBDA/Endpoint/JEHBDA
  • Direct secure messaging: samer.roy@sroy.eclinicaldirectplus.com
  • Direct secure messaging: saro0875@yourcarecommunity.org
  • Direct secure messaging: sroy16437@direct.casso.us.com

Organizations & group practices 7

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 5

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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478044800000",
    "number": "1871501338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 THOMAS RD",
            "address_2": "SUITE 400",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712917366",
            "telephone_number": "318-322-0100",
            "fax_number": "318-322-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102,THOMAS ROAD",
            "address_2": "SUIT 504",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "71291",
            "telephone_number": "318-680-9468",
            "fax_number": "318-322-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROY",
        "first_name": "SAMER",
        "middle_name": "NOEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2016-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "022930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Monroe, LA

Sources for this page

Verify at the official NPI Registry.