Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ansaf Alamin Roy

Individual provider Physician Assistant · NPI 1811855893

Ansaf Alamin Roy is a Physician Assistant in Peoria, Illinois. Qualified in 2025, 1 year ago. Practices as a sole proprietor and works from 4 locations. Licensed in Illinois and Ohio.

Years since qualifying
1
Licensed in
IL, OH
In the registry since
2026
Specialties on file
2
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Practice location Address checks out

530 NE Glen Oak Ave
Peoria, IL 61637-0001
Phone: (309) 655-2000
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Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 18101 Lorain Ave, Cleveland, OH 44111-5612 — (216) 476-7000
  • 9500 Euclid Ave, Cleveland, OH 44195-0001 — (716) 829-8000
  • 6780 Mayfield Rd, Mayfield Heights, OH 44124-2294 — (469) 254-1098

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085011995 (IL)
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X · Licence 50.010009RX (OH)

Record details

NPI number1811855893
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 9, 2026
Last updated in NPPESFebruary 12, 2026
Certification dateFebruary 12, 2026
Mailing address106 Laurel Ln, Euless, TX 76039-8005

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in Peoria