Individual provider Active NPI

Richard A Wray, MD

  • Cardiovascular Disease Physician
  • Weatherford, TX
National Provider Identifier
1124076534
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
H0960 Issued in TX
Practice address
2614 E Bankhead Hwy
Weatherford, TX 76087-9558
Phone
(817) 803-1234
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X H0960 TX Primary

Addresses

Primary practice location

2614 E Bankhead Hwy
Weatherford, TX 76087-9558

Mailing address

16980 Dallas Pkwy
Suite 200
Dallas, TX 75248-1908
Phone (817) 461-3003

Other identifiers 2

IdentifierTypeStateIssuer
87T135OtherTXBCBS
118562103MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20100924000775 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3072646801 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical & Heart Center PA Cardiovascular Disease CurrentSince May 7, 2024 Accepting new patients
Heart360 Specialists PC Cardiovascular Disease CurrentSince Apr 29, 2024 Accepting new patients

Locations

117 Gemini Cir
Ste 403
Homewood, AL 35209

8513 Mid Cities Blvd
North Richlnd Hls, TX 76182
Phone (817) 803-1234

2614 E Bankhead Hwy
Weatherford, TX 76087
Phone (817) 341-8646

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72296

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Texas Health Heart & Vascular HospitalArlington, TX, CCN 670071 Hospital Other (1.1%) May 1, 2017

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1124076534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16980 DALLAS PKWY",
            "address_2": "SUITE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752481908",
            "telephone_number": "817-461-3003",
            "fax_number": "817-469-6156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2614 E BANKHEAD HWY",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760879558",
            "telephone_number": "817-803-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRAY",
        "first_name": "RICHARD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "H0960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "87T135",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118562103",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weatherford, TX

Sources for this page

Verify at the official NPI Registry.