Active NPI
Tarun K Ray, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Philadelphia, PA
National Provider Identifier
1285711929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- MD037956L
- Practice address
- 100 E Lehigh Ave
Suite 109
Philadelphia, PA 19125-1012 - Phone
- (215) 707-0570
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD037956L | PA | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | MD037956L | PA | Primary |
Addresses
Primary practice location
100 E Lehigh Ave
Suite 109
Philadelphia, PA 19125-1012
Mailing address
7900 Old York Rd
908A
Elkins Park, PA 19027-2318
Phone (215) 635-3808
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0008066340015 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- Other, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
100 E Lehigh Ave
Suite 109
Philadelphia, PA 19125-1012
Phone (215) 707-0570
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD037956L | PA | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Poly Clinic Medical Associates PC | Endocrinology, Diabetes & Metabolism | Current | Accepting new patients |
| Kokroo Medical Associates,PC | Internal Medicine | Past | Accepting new patients |
Locations
100 E Lehigh Ave
Ste 109
Philadelphia, PA 19125
Phone (215) 707-0570
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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Philadelphia, PA
- NPI 1770784860
-
- Internal Medicine Physician
- Philadelphia, PA
- NPI 1083649511
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235433600000",
"number": "1285711929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7900 OLD YORK RD",
"address_2": "908A",
"city": "ELKINS PARK",
"state": "PA",
"postal_code": "190272318",
"telephone_number": "215-635-3808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E LEHIGH AVE",
"address_2": "SUITE 109",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191251012",
"telephone_number": "215-707-0570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAY",
"first_name": "TARUN",
"middle_name": "K",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2009-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD037956L",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "PA",
"license": "MD037956L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0008066340015",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.