Individual provider Active NPI

Debajit Roy, M.D.

  • Cardiovascular Disease Physician
  • Glen Burnie, MD
National Provider Identifier
1952315673
Registry record updated Aug 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
DOO60103 Issued in MD
Practice address
7845 Oakwood Dr.
Suite 106
Glen Burnie, MD 21061
Phone
(410) 768-0919
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X DOO60103 MD Primary

Addresses

Primary practice location

7845 Oakwood Dr.
Suite 106
Glen Burnie, MD 21061

Mailing address

920 Elkridge Landing Rd
Linthicum, MD 21090-2917
Phone (443) 462-5010

Other identifiers 1

IdentifierTypeStateIssuer
402030800MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20040318000907 MD Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8325938798 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DOO60103MDMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Baltimore Washington Heart Associates LLC Cardiovascular Disease CurrentSince Sep 1, 2018 Accepting new patients
Brandywine Internal Medicine, LLC Past Accepting new patients
West Chester Cardiology,PC Cardiovascular Disease PastSince Sep 5, 2006 Accepting new patients

Locations

7845 Oakwood Rd
Ste 106
Glen Burnie, MD 21061
Phone (410) 760-5100

7845 Oakwood Rd
Ste 100
Glen Burnie, MD 21061
Phone (410) 760-1010

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

7845 Oakwood Rd
#S106
Glen Burnie, MD 21061
Phone (410) 760-5100

920 Elkridge Landing Rd
Linthicum Heights, MD 21090

Interoperability endpoints

  • Direct secure messaging: droy25623@direct.umm.edu

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534809600000",
    "number": "1952315673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 ELKRIDGE LANDING RD",
            "city": "LINTHICUM",
            "state": "MD",
            "postal_code": "210902917",
            "telephone_number": "443-462-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7845 OAKWOOD DR.",
            "address_2": "SUITE 106",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "21061",
            "telephone_number": "410-768-0919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROY",
        "first_name": "DEBAJIT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2018-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "DOO60103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "402030800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

Verify at the official NPI Registry.