Individual provider Active NPI

Trisza L Ray, DO

  • Family Medicine Physician
  • Tulsa, OK
National Provider Identifier
1356331052
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4143 Issued in OK
Practice address
7422 E 67TH PL
Tulsa, OK 74133-1815
Phone
(918) 814-6417
NPI assigned
Oct 24, 2005
Last updated
Oct 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4143 OK Primary

Addresses

Primary practice location

7422 E 67TH PL
Tulsa, OK 74133-1815

Mailing address

7422 E 67TH PL
Tulsa, OK 74133-1815
Phone (918) 814-6417

Other identifiers 1

IdentifierTypeStateIssuer
200062480 AMedicaidOK

Other names 1

  • Trisza Leann Ray Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20051216000404 OK Practitioner - General SurgeryPractitioner - Family PracticePractitioner - Emergency Medicine 1254366834 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Family Practice
Education
Oklahoma State University College of Osteopathic Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Pain Management Center of Oklahoma LLCGroup PAC ID 4789922634, 6 clinicians

Practice addresses (Care Compare)

3939 S Harvard Ave
Suite 100
Tulsa, OK 74135-4600
Phone (918) 921-9700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4143OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eufaula Medicine PLLC Past Accepting new patients
Okmulgee Emergency PLLC Past Accepting new patients
Pottawatomie Emergency Physicians LLC Past Accepting new patients

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, 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": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1356331052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7422 E 67TH PL",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741331815",
            "telephone_number": "918-814-6417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7422 E 67TH PL",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741331815",
            "telephone_number": "918-814-6417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "TRISZA",
        "middle_name": "L",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-24",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "4143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200062480 A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRISZA",
            "last_name": "RAY",
            "middle_name": "LEANN",
            "credential": "DO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.