Individual provider Active NPI

Sujit Michael Ray, M.D.

  • General Practice Physician
  • Farmington, CT
National Provider Identifier
1336469592
Registry record updated Jun 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
051649 Issued in CT
Practice address
76 Batterson Park Rd Ste 106
Farmington, CT 06032-2571
Phone
(774) 365-8640
Fax
(203) 879-0834
NPI assigned
Jun 10, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 051649 CT Primary

Addresses

Primary practice location

76 Batterson Park Rd Ste 106
Farmington, CT 06032-2571

Mailing address

76 Batterson Park Rd Ste 106
Farmington, CT 06032-2571
Phone (774) 365-8640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20130719000480 CT Practitioner - General Practice 3779724554 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
95
Improvement activities
40
Cost
77.11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
051649CTMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wound Surgeons LLC General Practice CurrentSince Feb 25, 2013 Accepting new patients
Wound Care Specialists of Ri, LLC General Practice CurrentSince Jul 22, 2021 Accepting new patients

Locations

76 Batterson Park Rd
Ste 106
Farmington, CT 06032
Phone (203) 598-6045

4 Research Pkwy
Wallingford, CT 06492
Phone (203) 598-6045

91 Point Judith Rd
#357
Narragansett, RI 02882
Phone (203) 910-7533

10 Dorrance St
Ste 700
Providence, RI 02903
Phone (401) 200-8242

Interoperability endpoints

  • Direct secure messaging: sray@direct-address.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": "1276128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591142400000",
    "number": "1336469592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 BATTERSON PARK RD STE 106",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322571",
            "telephone_number": "774-365-8640",
            "fax_number": "203-879-0834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 BATTERSON PARK RD STE 106",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322571",
            "telephone_number": "774-365-8640",
            "fax_number": "203-879-0834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "SUJIT",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-10",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CT",
            "license": "051649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, CT

Sources for this page

Verify at the official NPI Registry.