Active NPI
Sanat Kumar Roy, M.D.
- Psychiatry Physician
- Lincoln, NE
National Provider Identifier
1912945197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 17556
- Practice address
- 2222 S 16TH St Ste 410
Lincoln, NE 68502-3785 - Phone
- (402) 474-1511
- Fax
- (402) 474-1611
- NPI assigned
- Jun 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 17556 | NE | Primary |
Addresses
Primary practice location
2222 S 16TH St Ste 410
Lincoln, NE 68502-3785
Mailing address
2222 S 16TH St Ste 410
Lincoln, NE 68502-3785
Phone (402) 474-1511
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03792 | Other | BCBS PROVIDER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | records@plazawestpsychiatrists.direct.kno2fy.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17556 | NE | MD | Oncology Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Nebraska Dept of Admin Services | Current | Accepting new patients | |
| State of Nebraska Dept of Admin Services | Current | Accepting new patients | |
| State of Nebraska Dept of Admin Services | Current | Accepting new patients | |
| Bryan Physician Network | Psychiatry | Past | Accepting new patients |
Locations
801 W Prospector Pl
Lincoln, NE 68522
Phone (402) 471-2654
Organizations & group practices 4
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.
-
- Skilled Nursing Facility
- Kearney, NE
- NPI 1790706034
-
- Intellectual Disabilities Intermediate Care Facility
- Beatrice, NE
- NPI 1114085826
-
- Psychiatric Hospital
- Lincoln, NE
- NPI 1942240122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624320000000",
"number": "1912945197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2222 S 16TH ST STE 410",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685023785",
"telephone_number": "402-474-1511",
"fax_number": "402-474-1611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2222 S 16TH ST STE 410",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685023785",
"telephone_number": "402-474-1511",
"fax_number": "402-474-1611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROY",
"first_name": "SANAT",
"middle_name": "KUMAR",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-02",
"last_updated": "2021-06-22",
"certification_date": "2021-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NE",
"license": "17556",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER",
"identifier": "03792",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "records@plazawestpsychiatrists.direct.kno2fy.com",
"affiliation": "N",
"address_1": "2222 S 16th St Ste 410",
"city": "Lincoln",
"state": "NE",
"country_code": "US",
"postal_code": "685023785",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.