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NPI · 1154381119 · NPPES-sourced

Dr. Bhola Roy M.D.

ActiveInternal Medicine
NPI Number
1154381119
Type 1 · Individual
Taxonomy Code
207R00000X
Contact
(412) 257-1836
License PA · MD 420560
Last Updated
Enumerated
Primary practice addressPA · 15017-2060
609 Washington AveBridgeville, PA 15017-2060
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About this NPIWhat this record shows.

NPI 1154381119 is registered to Dr. Bhola Roy M.D., a Internal Medicine practising at 609 Washington Ave in Bridgeville, Pennsylvania. Internal Medicine physicians (internists) specialise in the prevention, diagnosis, and treatment of diseases in adults, often coordinating care across multiple subspecialties. Dr. Bhola Roy M.D. has been enumerated in the National Provider Identifier (NPI) registry since 2006.

Provider type
Individual (Type 1)
Status
Active
Enumerated

Beyond the registryWhat this record adds.

This record carries 15 secondary identifiers beyond the base NPI: Medicaid and other payer cross-references used by billers and credentialers, which the standard CMS NPPES lookup does not surface. It is enrolled in Medicare, linking to 1 PECOS enrollment record (with a public Medicare Enrollment ID) sourced from CMS, which the NPPES registry does not list. Within the directory it is one of 9,057 Internal Medicine providers on file in Pennsylvania.

Source: CMS NPPES and PECOS public files. snapshot, refreshed monthly.

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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • 200907216PA· Issued by CIGNA
  • 200907216PA· Issued by INTERGROUP
  • 200907216PA· Issued by UMWA
  • 7945570PA· Issued by AETNA NON HMO
  • 200907216PA· Issued by PHCS
  • 312289PA· Issued by UPMC HEALTHPLAN
  • 3610955PA· Issued by AETNA HMO
  • 155024PA· Issued by MEDPLUS
  • P00144641PW· Issued by RAILROAD MEDICARE
  • P006301PA· Issued by GATEWAY HEALTH PLAN
  • 1453897PW· Issued by BLUE CROSS / BLUE SHIELD
  • 200907216PA· Issued by UNITED HEALTHCARE
  • 204164PA· Issued by FEDERAL BLACK LUNG
  • 239019PA· Issued by HEALTHAMERICA

Medicaid

Source: NPPES public registry.

Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Dr. Bhola Roy M.D. accepts. To confirm in-network status with your specific health plan, contact Dr. Bhola Roy M.D. directly at (412) 257-1836.

Frequently asked

Yes. NPI 1154381119 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Internal Medicine physicians (internists) specialise in the prevention, diagnosis, and treatment of diseases in adults, often coordinating care across multiple subspecialties.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (412) 257-1836.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Dr. Bhola Roy M.D. is a Type-1 individual NPI.

As of the latest monthly CMS NPPES snapshot, 9,057 Internal Medicine providers are registered in Pennsylvania, and Dr. Bhola Roy M.D. is one of them. The figure refreshes each month from the federal source.

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Quick facts

Provider typeIndividual
Taxonomy207R00000X
Last updated
Enumerated
StatusActive
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1 record · same addressOther providers at this location.

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Same specialtyOther Internal Medicine providers in Pennsylvania.

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