Individual provider Active NPI

Kristi Lynn Ray, D.O./ M.P.H.

  • Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
  • Harvey, LA
National Provider Identifier
1063946135
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianTaxonomy code 207PE0005X
License
323950 Issued in LA
Practice address
1816 Industrial Blvd
Harvey, LA 70058-2314
Phone
(504) 366-7638
NPI assigned
Apr 17, 2017
Last updated
Nov 3, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician 207PE0005X 323950 LA Primary

Addresses

Primary practice location

1816 Industrial Blvd
Harvey, LA 70058-2314

Mailing address

1201 Enterprise Ave Apt 603
League City, TX 77573-2984

Other practice location 1

2701 Dekalb Pike
Norristown, PA 19401-1820
Phone (610) 278-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211202000608 LA Practitioner - Undersea and Hyperbaric Medicine 8729353362 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Undersea and Hyperbaric Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Extreme Environmental Medicine LLCGroup PAC ID 0648501239, 6 clinicians

Practice addresses (Care Compare)

1101 Medical Ctr Blvd
Marrero, LA 70072-3147
Phone (504) 349-6558

2000 Canal St
New Orleans, LA 70112-3018
Phone (504) 702-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as group
Quality
88.07
Improvement activities
40
Cost
74.42

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue33
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
323950LAMDUndersea and Hyperbaric Medicine (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Medical Center Management Corporation Undersea and Hyperbaric Medicine CurrentSince Nov 1, 2021 Accepting new patients
University Medical Center Management Corporation CurrentSince Nov 1, 2021 Accepting new patients
Extreme Environmental Medicine, LLC Undersea and Hyperbaric Medicine CurrentSince Oct 15, 2024 Accepting new patients
Van Meter MD & Associates PastSince Nov 9, 2021 Accepting new patients

Locations

180 W Esplanade Ave
Ste 108
Kenner, LA 70065
Phone (504) 464-8686

1101 Medical Center Blvd
Marrero, LA 70072
Phone (504) 347-5511

2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287

3157 Gentilly Blvd
New Orleans, LA 70122
Phone (504) 444-5149

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 3

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": "1492387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1063946135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 ENTERPRISE AVE APT 603",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775732984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1816 INDUSTRIAL BLVD",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "700582314",
            "telephone_number": "504-366-7638"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2701 Dekalb Pike",
            "address_purpose": "LOCATION",
            "city": "Norristown",
            "state": "PA",
            "postal_code": "194011820",
            "country_code": "US",
            "telephone_number": "610-278-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAY",
        "first_name": "KRISTI",
        "middle_name": "LYNN",
        "credential": "D.O./ M.P.H.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-17",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207PE0005X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "LA",
            "license": "323950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harvey, LA

Sources for this page

Verify at the official NPI Registry.