Kansas L Du Bray, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

42772020 Issued in WI

Practice address

S2845 White Eagle Lane
Baraboo, WI 53913

Phone

(608) 355-1240

Fax

(608) 356-6347

NPI assigned

Nov 6, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

University of Minnesota Medical School, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prairie Ridge Health IncGroup PAC ID 6800791484, 70 clinicians

Sauk Prairie Healthcare IncGroup PAC ID 8224948054, 122 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sauk Prairie Hospital Hospital, Prairie Du Sac, WI, CCN 520095
• Columbus Community Hospital Hospital, Columbus, WI, CCN 521338

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kdubray259550@direct-ehr-ssmhc.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• FHIR API: https://fhir-myrecord.cerner.com/r4/a87187e5-fe2f-447e-bf32-4eeb3954a735/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Prairie Ridge Health, Inc.

  • Critical Access Hospital
  • Columbus, WI
  • NPI 1154403657
  Medicare reassignment Care Compare group NPD
• Sauk Prairie Healthcare Inc

  • General Acute Care Hospital
  • Prairie Du Sac, WI
  • NPI 1861466153
  Medicare reassignment Care Compare group NPD
• SSM Health Care of Wisconsin Inc

  • Internal Medicine Physician
  • Baraboo, WI
  • NPI 1730160011
  Medicare reassignment NPD
• The Monroe Clinic, Inc.

  • Specialist
  • Monroe, WI
  • NPI 1386720548
  Medicare reassignment NPD
• Upland Hills Health Inc

  • Surgery Physician
  • Dodgeville, WI
  • NPI 1821258740
  Medicare reassignment NPD
• Rural Physicians Group-Pannu PLLC

  • Hospitalist Physician
  • Greenwood Village, CO
  • NPI 1891236584

  WI

  Medicare reassignment
• Prairie Ridge Health Inc.

  • Family Medicine Physician
  • Sun Prairie, WI
  • NPI 1699534545
  NPD
• Prairie Ridge Health, Inc.

  • Orthopaedic Surgery Physician
  • Beaver Dam, WI
  • NPI 1093137416
  NPD
• Sauk Prairie Healthcare Inc

  • Orthopaedic Surgery Physician
  • Prairie Du Sac, WI
  • NPI 1336488741
  NPD
• Sauk Prairie Healthcare Inc

  • Certified Registered Nurse Anesthetist
  • Prairie Du Sac, WI
  • NPI 1396884474
  NPD
• Sauk Prairie Healthcare, Inc.

  • Family Medicine Physician
  • Sauk City, WI
  • NPI 1235163494

  Internal Medicine

  NPD
• SSM Health Care of Wisconsin, Inc.

  • General Acute Care Hospital
  • Janesville, WI
  • NPI 1194004408
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Prairie Ridge Health, Inc.

  • Critical Access Hospital
  • Columbus, WI
  • NPI 1154403657
  Care Compare affiliation
• Prairie Ridge Health, Inc.

  • Critical Access Hospital
  • Columbus, WI
  • NPI 1841376183
  Care Compare affiliation
• Prairie Ridge Health, Inc.

  • Orthopaedic Surgery Physician
  • Columbus, WI
  • NPI 1912329335

  Hospital

  Care Compare affiliation
• Sauk Prairie Healthcare Inc

  • General Acute Care Hospital
  • Prairie Du Sac, WI
  • NPI 1861466153
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1003985284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "S2845 WHITE EAGLE LANE",
            "city": "BARABOO",
            "state": "WI",
            "postal_code": "53913",
            "telephone_number": "608-355-1240",
            "fax_number": "608-355-9643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "S2845 WHITE EAGLE LANE",
            "city": "BARABOO",
            "state": "WI",
            "postal_code": "53913",
            "telephone_number": "608-355-1240",
            "fax_number": "608-356-6347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DU BRAY",
        "first_name": "KANSAS",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "42772020",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WI",
            "license": "42772020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEAN HEALTH PLAN",
            "identifier": "14466",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34175500",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD RETIREMENT",
            "identifier": "P00054953",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachael Ann Dozer, LCSW, CSAC
• Steven Drexler
• Susan M Driefke
• Nicole Drier, MS, LPC-IT, SAC
• Natasha Cole Drury, MS,LPC
• Deanna May Dubray, FNP
• Cindy Ducklow
• Cheryl D. Eastman, FNP
• Eatplayconnect LLC
• Jill Diane Ellinwood, MA, LCSW, LPC

• Pediatrics Physician in Baraboo, WI
• Providers in Baraboo, WI by specialty
• Pediatrics Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.