Individual provider

David Roy, D.O.

MOHS-Micrographic Surgery Physician Dermatology Physician Medicare enrolled

David Roy, D.O. is a MOHS-Micrographic Surgery Physician in Petal, MS, registered under NPI 1801097019. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 201 S MAIN ST, Petal, MS 39465. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

201 S MAIN ST, Petal, MS 39465 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
21178 MS MOHS-Micrographic Surgery Physician primary
4312 AZ Dermatology Physician
4312 AZ MOHS-Micrographic Surgery Physician

Licences are recorded in 2 states: MS, AZ. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Dermatology
PAC ID
8123186418

Medicare enrolment is recorded as approved under the provider type Practitioner - Dermatology. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: Arizona and Mississippi. The practice address on file is in Petal, MS, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

AZ Arizona
Licence
4312
Specialty
Dermatology Physician
Verify with the AZ board →
MS Mississippi practice address
Licence
21178
Specialty
MOHS-Micrographic Surgery Physician
Verify with the MS board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What MOHS-Micrographic Surgery covers

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. NUCC Health Care Provider Taxonomy, code 207ND0101X
Allopathic & Osteopathic Physicians Dermatology MOHS-Micrographic Surgery

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207ND0101X MOHS-Micrographic Surgery Physician MOHS-Micrographic Surgery 21178 MS primary
207N00000X Dermatology Physician 4312 AZ
207ND0101X MOHS-Micrographic Surgery Physician MOHS-Micrographic Surgery 4312 AZ

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1801097019 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMay 29, 2007
Last updatedApr 15, 2015
StatusActive
Sole proprietorNo
CredentialD.O.
Practice address 201 S MAIN ST
Petal, MS 39465
(601) 336-5626
Fax (601) 336-7826
Other identifiers 09652756 (MS)
This record was last updated on Apr 15, 2015, roughly 11 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1801097019 passes the NPI check digit test The final digit 9 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 8 0 1 0 9 7 0 1
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 8 0 1 0 9 5 0 2

Sum = 51 · next multiple of 10 = 60 · check digit = 9 · actual last digit = 9

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1801097019?
NPI 1801097019 is the National Provider Identifier assigned to David Roy, D.O. in Petal, MS. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does MOHS-Micrographic Surgery cover?
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery…
How do I contact David Roy, D.O.?
The phone number on file with NPPES is (601) 336-5626, last updated Apr 15, 2015. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does David Roy, D.O. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1801097019 a valid number?
Yes. 1801097019 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.