Individual provider Active NPI

Ray Isinga Mirembo

  • Psychiatry Physician
  • Lexington, KY
National Provider Identifier
1023690260
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
R6003 Issued in KY
Practice address
160 Moore Dr Ste 205
Lexington, KY 40503-2951
Phone
(859) 489-4126
Fax
(859) 214-7634
NPI assigned
Apr 27, 2021
Last updated
Dec 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X R6003 KY
Student in an Organized Health Care Education/Training Program 390200000X NU
Psychiatry Physician 2084P0800X R6003 KY Primary

Addresses

Primary practice location

160 Moore Dr Ste 205
Lexington, KY 40503-2951

Mailing address

160 Moore Dr Ste 205
Lexington, KY 40503-2951
Phone (859) 489-4126

Other practice location 1

245 Fountain Ct Ste 215
Lexington, KY 40509-1888
Phone (859) 323-6861

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20230630001219 KY Practitioner - Psychiatry 0648647008 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Kentucky College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

160 Moore Dr
Suite 205
Lexington, KY 40503-2951
Phone (859) 489-4126

789 Eastern Bypass
Suite 23
Richmond, KY 40475-2421
Phone (606) 523-8521

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R6003KYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sagebrook Behavioral Health PLLC Psychiatry CurrentSince Jul 1, 2025 Accepting new patients
Total Body Wellness Pro Current Accepting new patients
Baptist Health Medical Group Inc Psychiatry CurrentSince Jun 1, 2023 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jun 1, 2023 Accepting new patients

Locations

160 Moore Dr
Ste 205
Lexington, KY 40503
Phone (859) 457-1904

4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390

789 Eastern Byp
Ste 23
Richmond, KY 40475
Phone (859) 544-8171

Organizations & group practices 4

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

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1023690260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 MOORE DR STE 205",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032951",
            "telephone_number": "859-489-4126",
            "fax_number": "859-214-7634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 MOORE DR STE 205",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032951",
            "telephone_number": "859-489-4126",
            "fax_number": "859-214-7634"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "245 Fountain Ct Ste 215",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405091888",
            "country_code": "US",
            "telephone_number": "859-323-6861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIREMBO",
        "first_name": "RAY",
        "middle_name": "ISINGA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-27",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "KY",
            "license": "R6003",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KY",
            "license": "R6003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.