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Ansaf Alamin Roy

Physician Assistant β€’ Peoria, IL

Active NPI 1811855893 Individual Practitioner Male Practitioner
Practice location in NPPES

530 Ne Glen Oak Ave
Peoria, IL 616370001

Call 3096552000 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

530 Ne Glen Oak Ave

Peoria, IL 616370001

Telephone 3096552000
Organization at the Same NPPES Address or Phone
University Of Illinois Facility NPI 1255301909

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 3 distinct additional practice-address records in Cleveland, OH; Mayfield Heights, OH. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2025

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

Years since graduation

1 years (graduated 2025)

CMS Doctors and Clinicians data list 2025 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2026

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

May accept Medicare assignment

CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Ansaf Roy has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Ansaf Roy as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Peoria and Illinois

95 active clinicians are listed under Physician Assistant with a practice address in Peoria, IL (4,929 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Peoria

10.5% of these 95 clinicians have the CMS telehealth indicator.

64.2% of these 95 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-02-12
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES IL 085011995

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Internal Medicine - Critical Care Medicine

NUCC Taxonomy Code: 207RC0200X

License # reported to NPPES OH 50.010009RX

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20260224004088

Enrollment State Jurisdiction

IL

PECOS Control ID

4385124262

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

9500 Euclid Ave

Cleveland, OH 441950001

Phone: 7168298000

6780 Mayfield Rd

Mayfield Heights, OH 441242294

Phone: 4692541098

18101 Lorain Ave

Cleveland, OH 441115612

Phone: 2164767000

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

21 listed
Dr. Samantha Aufderhaar , DNP, CRNA

Nurse Anesthetist, Certified Registered

NPI 1104603695

Doctor of Nursing Practice, Certified Registered Nurse Anesthetist

Jacob Clark

Physician Assistant - Medical

NPI 1013614304
Dr. Janie Clary , DNP, APN, FNP-C

Nurse Practitioner - Family

NPI 1053912188

Doctor of Nursing Practice, Advanced Practice Nurse, Family Nurse Practitioner (Certified)

Dr. Jillian Costello , DO

Internal Medicine

NPI 1033796750

Doctor of Osteopathic Medicine (D.O.)

Dr. Ellen Haas , MD

Obstetrics & Gynecology

NPI 1124256854

Doctor of Medicine (M.D.)

Dr. Samantha Hawkins , MD

Student in an Organized Health Care Education/Training Program

NPI 1184477259

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 12, 2026

Physician Assistant (license number reported to NPPES: IL 085011995)

πŸ“
Updated Practice Location February 06, 2026

Registered at 530 NE GLEN OAK AVE, PEORIA, IL 616370001 (Tel: 3096552000)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 06, 2026

Internal Medicine (license number reported to NPPES: IL 085.011995)

βœ…
NPI Profile Active January 09, 2026

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 09, 2026

Registered at 320 PORTER AVE, BUFFALO, NY 142011032 (Tel: 7168298000)

πŸ“
Business Mailing Address (Initial Record) January 09, 2026

Registered at 106 LAUREL LN, EULESS, TX 760398005 (Tel: 4692541098)

πŸ‘€
Provider Name / Credentials (Initial Record) January 09, 2026

Recorded as ANSAF ROY

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 09, 2026

Physician Assistant

🟒
Initial NPI Registration & Enumeration January 09, 2026

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1811855893
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 09, 2026
Last Update: February 12, 2026
Sole Proprietor: Yes

Other Physician Assistants in Peoria

All Physician Assistants in Peoria

Mailing Address

106 Laurel Ln

Euless, TX 760398005

Phone: 4692541098

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.