Individual provider Active NPI

Ross David Daray, M.D.

  • Personal Emergency Response Attendant
  • Zachary, LA
National Provider Identifier
1255698247
Registry record updated Sep 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Emergency Response AttendantTaxonomy code 146D00000X
License
MD.208212 Issued in LA
Practice address
6300 Main St
Zachary, LA 70791-4037
Phone
(985) 626-9268
NPI assigned
Apr 16, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Emergency Response Attendant 146D00000X MD.208212 LA Primary
Personal Emergency Response Attendant 146D00000X 24046 MS

Addresses

Primary practice location

6300 Main St
Zachary, LA 70791-4037

Mailing address

2646 S Turnberry Ave
Zachary, LA 70791-5416
Phone (985) 626-9268

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151028000023 LA Practitioner - Emergency Medicine 4880903806 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Tammany Emergency Physicians Group LLCGroup PAC ID 7214255967, 41 clinicians
Washington Parish Emergency Physicians Group LLCGroup PAC ID 4284928094, 10 clinicians

Practice addresses (Care Compare)

1202 S Tyler St
Covington, LA 70433-2330
Phone (985) 898-4000

433 Plaza St
Bogalusa, LA 70427-3729
Phone (985) 730-6700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.208212LAMDPersonal Emergency Response Attendant

Practice roles

OrganizationSpecialtyStatusNew patients
C & M Medical Services, Inc. CurrentSince Sep 5, 2015 Accepting new patients
Washington Parish Emergency Physicians Group LLC CurrentSince May 15, 2018 Accepting new patients
St Tammany Emergency Physicians Group LLC CurrentSince Jun 27, 2017 Accepting new patients
Professional Emergency Physician Associates, LLC CurrentSince Oct 24, 2016 Accepting new patients

Locations

Dept AT952639
Atlanta, GA 31192

5000 Hennessy Blvd
Baton Rouge, LA 70808
Phone (225) 765-4050

433 Plaza St
Bogalusa, LA 70427
Phone (985) 730-6700

1202 S Tyler St
Covington, LA 70433
Phone (985) 898-3743

2929 Highway 190
Mandeville, LA 70471
Phone (985) 773-1550

2202 False River Dr
New Roads, LA 70760
Phone (225) 638-5702

6300 Main St
Zachary, LA 70791
Phone (225) 570-2618

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1334534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474416000000",
    "number": "1255698247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2646 S TURNBERRY AVE",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707915416",
            "telephone_number": "985-626-9268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 MAIN ST",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707914037",
            "telephone_number": "985-626-9268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARAY",
        "first_name": "ROSS",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-16",
        "last_updated": "2016-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146D00000X",
            "taxonomy_group": "",
            "desc": "Personal Emergency Response Attendant",
            "state": "LA",
            "license": "MD.208212",
            "primary": true
        },
        {
            "code": "146D00000X",
            "taxonomy_group": "",
            "desc": "Personal Emergency Response Attendant",
            "state": "MS",
            "license": "24046",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zachary, LA

Sources for this page

Verify at the official NPI Registry.