Sudeep Roy, MD is a medicare enrolled "Otolaryngology - Otolaryngology/facial Plastic Surgery" physician in Arlington Heights, Illinois. His current practice location is
1640 N Arlington Heights Rd Ste 210, Arlington Heights, Illinois. You can reach out to his office (for appointments etc.) via phone at
(877) 967-3223.
Sudeep Roy is licensed to practice in Illinois (license number 036142018) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1326338526.
Physician's Profile
Full Name | Sudeep Roy |
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Gender | Male |
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Speciality | Otolaryngology - Otolaryngology/facial Plastic Surgery |
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Location | 1640 N Arlington Heights Rd Ste 210, Arlington Heights, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1326338526
- Provider Enumeration Date: 04/10/2011
- Last Update Date: 01/24/2018
Medicare PECOS Information:
- PECOS PAC ID: 8123251162
- Enrollment ID: I20171026001132
Medical Identifiers
Medical identifiers for Sudeep Roy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1326338526 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207YX0905X | Otolaryngology - Otolaryngology/facial Plastic Surgery | Q6786 (Texas) | Secondary |
207YX0905X | Otolaryngology - Otolaryngology/facial Plastic Surgery | 036142018 (Illinois) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Sudeep Roy allows following entities to bill medicare on his behalf.
Entity Name | New Horizons Center For Cosmetic Surgery Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1073557666 PECOS PAC ID: 4789786146 Enrollment ID: O20070305000053 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sudeep Roy is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Sudeep Roy, MD 2030 Harrison St, Glenview, IL 60025-4940 Ph: (650) 814-0291 | Sudeep Roy, MD 1640 N Arlington Heights Rd Ste 210, Arlington Heights, IL 60004-3985 Ph: (877) 967-3223 |
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