Active NPI
Mark James Ray, DPM
- Podiatrist
- Latrobe, PA
National Provider Identifier
1336136829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- SC004546L
- Practice address
- 5944 Route 981
Latrobe, PA 15650-2685 - Phone
- (724) 537-9008
- Fax
- (724) 537-9088
- NPI assigned
- Sep 30, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | SC004546L | PA | Primary |
Addresses
Primary practice location
5944 Route 981
Latrobe, PA 15650-2685
Mailing address
5944 Route 981
Latrobe, PA 15650-2685
Phone (724) 537-9008
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 017730000003 | 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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090807000424 | PA | Practitioner - Podiatry | 4587717590 | Practice locations: Latrobe, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5944 Route 981
Latrobe, PA 15650-2685
5944 State Route 981
Latrobe, PA 15650-2685
Phone (724) 537-9008
Hospital & facility affiliations
- Excela Health Latrobe Hospital
- Excela Health Westmoreland Regional Hospital
- Excela Health - Frick Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 213 |
| Removal of skin lesions | 117 |
| Removal of nail tissue | 2223 |
| Removal or shaving of skin growth | 462 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC004546L | PA | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ray Foot and Ankle Center | Podiatrist | Current | Accepting new patients |
| Hutt Podiatry Inc | Podiatrist | Past | Accepting new patients |
| Windber Hospital, Inc. | Past | Accepting new patients |
Locations
5944 State Route 981
Latrobe, PA 15650
Phone (724) 537-9008
Interoperability endpoints
- mray@direct.excelahealth.org
Organizations & group practices 3
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.
-
- Foot & Ankle Surgery Podiatrist
- Latrobe, PA
- NPI 1578737466
-
- Podiatrist
- Greensburg, PA
- NPI 1710393137
-
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
Hospital & facility affiliations 18
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mt Pleasant, PA
- NPI 1144255159
-
- Adolescent and Children Mental Health Clinic/Center
- Latrobe, PA
- NPI 1518985167
Hospital
-
- Psychiatric Hospital Unit
- Latrobe, PA
- NPI 1831116342
-
- Adolescent and Children Mental Health Clinic/Center
- Latrobe, PA
- NPI 1922025436
Hospital
-
- General Acute Care Hospital
- Latrobe, PA
- NPI 1821015462
-
- Psychiatric Hospital Unit
- Greensburg, PA
- NPI 1003833526
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248134400000",
"number": "1336136829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5944 ROUTE 981",
"city": "LATROBE",
"state": "PA",
"postal_code": "156502685",
"telephone_number": "724-537-9008",
"fax_number": "724-537-9088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5944 ROUTE 981",
"city": "LATROBE",
"state": "PA",
"postal_code": "156502685",
"telephone_number": "724-537-9008",
"fax_number": "724-537-9088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAY",
"first_name": "MARK",
"middle_name": "JAMES",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-30",
"last_updated": "2009-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "PA",
"license": "SC004546L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "017730000003",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Latrobe, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.