Individual provider Active NPI

Kyle Aaron Bray, DPM

  • Foot & Ankle Surgery Podiatrist
  • Rocky River, OH
National Provider Identifier
1144740234
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
36.003979 Issued in OH
Practice address
2880 Plymouth Ave
Rocky River, OH 44116-3209
Phone
(440) 333-5888
Fax
(440) 333-6766
NPI assigned
Jun 21, 2017
Last updated
Jul 15, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 36.003979 OH Primary

Addresses

Primary practice location

2880 Plymouth Ave
Rocky River, OH 44116-3209

Mailing address

2880 Plymouth Ave
Rocky River, OH 44116-3209
Phone (440) 333-5888

Other practice location 1

4338 Mayfield Rd
South Euclid, OH 44121-3632
Phone (216) 381-3600

Other identifiers 1

IdentifierTypeStateIssuer
0409922MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20200721003345 OH Practitioner - Podiatry 1951732502 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elevate Foot and Ankle IncGroup PAC ID 4385674530, 5 clinicians

Practice addresses (Care Compare)

2880 Plymouth Ave
Rocky River, OH 44116-3209
Phone (440) 333-5888

Merit-based Incentive Payment System (MIPS)

Final score
86.2 of 100Reported as group
Quality
70.03
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue42
Removal of skin lesions1-10
Removal of nail tissue278
Removal or shaving of skin growth115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elevate Foot & Ankle Inc Foot & Ankle Surgery CurrentSince Sep 1, 2020 Accepting new patients
Elevate Foot & Ankle, Inc Foot & Ankle Surgery CurrentSince Sep 1, 2020 Accepting new patients

Locations

3628 Walnut Hills Ave
Ste 100
Beachwood, OH 44122
Phone (216) 381-3600

2880 Plymouth Ave
Rocky River, OH 44116
Phone (440) 333-5888

4338 Mayfield Rd
South Euclid, OH 44121
Phone (216) 381-3600

Interoperability endpoints

  • Direct secure messaging: kbray431341@ehrdirect.uhhospitals.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1144740234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 PLYMOUTH AVE",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441163209",
            "telephone_number": "440-333-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 PLYMOUTH AVE",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441163209",
            "telephone_number": "440-333-5888",
            "fax_number": "440-333-6766"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4338 Mayfield Rd",
            "address_purpose": "LOCATION",
            "city": "South Euclid",
            "state": "OH",
            "postal_code": "441213632",
            "country_code": "US",
            "telephone_number": "216-381-3600",
            "fax_number": "216-381-5981",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAY",
        "first_name": "KYLE",
        "middle_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-21",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36.003979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0409922",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky River, OH

Sources for this page

Verify at the official NPI Registry.