Individual provider Active NPI

Debanshu Dependra Kumar Roy, M.D.

  • Interventional Cardiology Physician
  • Oshkosh, WI
National Provider Identifier
1992125751
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
S3058 Issued in TX
Practice address
855 N Westhaven Dr
Oshkosh, WI 54904-7668
Phone
(920) 303-8700
NPI assigned
Apr 21, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 21253 WI
Interventional Cardiology Physician 207RI0011X S3058 TX Primary

Addresses

Primary practice location

855 N Westhaven Dr
Oshkosh, WI 54904-7668

Mailing address

3301 W Forest Home Ave
Milwaukee, WI 53215-2843
Phone (920) 303-8700

Other practice location 1

11130 Christus Hls
San Antonio, TX 78251-3585
Phone (210) 703-8925

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NE, DE, MT4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20191101001597 TX Practitioner - Interventional CardiologyPractitioner - Internal MedicinePractitioner - Hospitalist 6507156510 Reassigns benefits to 4 organizations
I20221005003062 NE Practitioner - Interventional Cardiology 6507156510 Reassigns benefits to 2 organizations
I20231122000507 DE Practitioner - Cardiovascular Disease (Cardiology) 6507156510 Reassigns benefits to 1 organization
I20260310000526 MT Practitioner - Interventional Cardiology 6507156510 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Internal Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians
SCL Health Medical Group - Billings LLCGroup PAC ID 9638491574, 291 clinicians

Practice addresses (Care Compare)

11212 State Hwy
151 Suite 230
San Antonio, TX 78251-4501
Phone (830) 643-7000

11212 State Hwy 151
Suite 205
San Antonio, TX 78251-4498
Phone (310) 704-4172

11212 State Hwy 151
Suite 230
San Antonio, TX 78251-4501
Phone (830) 643-7000

2900 12TH Ave N
Suite 204E
Billings, MT 59101-7502
Phone (406) 237-5001

620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900

630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560

PO Box
Suite 846098
Dallas, TX 75284-6098

Hospital & facility affiliations

  • Intermountain Health St Vincent Regional Hospital Hospital, Billings, MT, CCN 270049
  • Christus Santa Rosa Medical Center Hospital, San Antonio, TX, CCN 450237

Merit-based Incentive Payment System (MIPS)

Final score
88.47 of 100Reported as group
Quality
77.88
Promoting interoperability
99
Improvement activities
40
Cost
70.81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21253WIMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Community Hospital Inc CurrentSince Sep 12, 2022 Accepting new patients
SCL Health Medical Group - Billings, LLC CurrentSince Jan 24, 2026 Accepting new patients
Val Verde Hospital Corporation Interventional Cardiology CurrentSince Sep 30, 2021 Accepting new patients
CHI Health Clinic Specialty, LLC CurrentSince Mar 15, 2023 Accepting new patients
University of Texas Health Science Center at San Antonio CurrentSince Nov 1, 2019 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Jul 1, 2025 Accepting new patients
BHS Physicians Network, Inc CurrentSince Oct 24, 2025 Accepting new patients
Val Verde Hospital Corporation Current Accepting new patients
Columbus Community Hospital Inc CurrentSince Sep 12, 2022 Accepting new patients
Tidalhealth Specialty Care, LLC CurrentSince Oct 4, 2023 Accepting new patients
Val Verde Hospital Corporation CurrentSince Sep 30, 2021 Accepting new patients
The University of Texas Health Science Center at San Antonio CurrentSince Nov 1, 2019 Accepting new patients
SCL Health Medical Group - Billings LLC CurrentSince Jan 24, 2026 Accepting new patients
University of Texas Health Science Center at San Antonio Current Accepting new patients
Christus Trinity Clinic Texas CurrentSince Jul 1, 2025 Accepting new patients
BHS Physicians Network, Inc CurrentSince Oct 24, 2025 Accepting new patients
Columbus Community Hospital Inc Current Accepting new patients

Locations

500 Eldorado Blvd
Ste 4300
Broomfield, CO 80021

200 Federal St
Seaford, DE 19973
Phone (302) 629-9099

100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100

2900 12th Ave N
Ste 204E
Billings, MT 59101
Phone (406) 237-5001

4508 38th St
Ste 210
Columbus, NE 68601
Phone (402) 488-6969

4600 38th St
Columbus, NE 68601
Phone (402) 562-3333

3219 Central Ave
Ste 200
Kearney, NE 68847
Phone (308) 865-2263

8207 Northwoods Dr
Ste 100
Lincoln, NE 68505
Phone (402) 484-3440

801 N Bedell Ave
Del Rio, TX 78840
Phone (830) 703-1702

7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700

4502 Medical Dr
San Antonio, TX 78229
Phone (210) 358-3555

7930 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 297-5000

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Interoperability endpoints

  • Direct secure messaging: droy25552@direct.utmsa.com
  • Direct secure messaging: droy596831@christushealth.direct-ci.net

Organizations & group practices 26

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.

View all 26

Hospital & facility affiliations 3

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": "1398038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1992125751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 W FOREST HOME AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532152843",
            "telephone_number": "920-303-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 N WESTHAVEN DR",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549047668",
            "telephone_number": "920-303-8700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11130 Christus Hls",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782513585",
            "country_code": "US",
            "telephone_number": "210-703-8925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROY",
        "first_name": "DEBANSHU",
        "middle_name": "DEPENDRA KUMAR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-21",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "WI",
            "license": "21253",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "S3058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oshkosh, WI

Sources for this page

Verify at the official NPI Registry.