Individual provider Active NPI

Sanat Kumar Roy, M.D.

  • Psychiatry Physician
  • Lincoln, NE
National Provider Identifier
1912945197
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
17556 Issued in NE
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

Updated by the provider on Jun 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
03792OtherBCBS PROVIDER

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040414001140 NE Practitioner - Psychiatry 3971597501 Reassigns benefits to 1 organization
Practice locations: Lincoln, NE

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17556NEMDOncology Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
State of Nebraska Dept of Admin Services Current Accepting new patients
State of Nebraska Dept of Admin Services CurrentSince May 2, 2011 Accepting new patients
State of Nebraska Dept of Admin Services CurrentSince May 2, 2011 Accepting new patients
Bryan Physician Network Psychiatry PastSince Oct 24, 2018 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.

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

Verify at the official NPI Registry.