Individual provider Active NPI

Charles G Ray, MD

  • Urology Physician
  • Lexington, KY
National Provider Identifier
1356348429
Registry record updated Mar 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
27795 Issued in KY
Practice address
2444 Harrodsburg Rd
Lexington, KY 40503-2162
Phone
(859) 277-5766
Fax
(859) 277-3406
NPI assigned
Jul 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 27795 KY Primary

Addresses

Primary practice location

2444 Harrodsburg Rd
Lexington, KY 40503-2162

Mailing address

2444 Harrodsburg Rd
Lexington, KY 40503-2162
Phone (859) 258-6950

Other identifiers 1

IdentifierTypeStateIssuer
64277957MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20060126000805 KY Practitioner - Urology 0244244465 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Kentucky College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Lexington Clinic PSCGroup PAC ID 3476457532, 329 clinicians

Practice addresses (Care Compare)

2444 Harrodsburg Rd
Lexington, KY 40503-2162
Phone (859) 258-6950

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New Lexington Clinic, PSC CurrentSince Mar 31, 2011 Accepting new patients
New Lexington Clinic PSC CurrentSince Mar 31, 2011 Accepting new patients
Neurosurgical Associates PSC Current Accepting new patients

Locations

305 Estill St
Berea, KY 40403
Phone (859) 986-1415

2444 Harrodsburg Rd
Lexington, KY 40503
Phone (859) 258-6950

1401 Harrodsburg Rd
Ste A300
Lexington, KY 40504
Phone (859) 313-4744

1221 S Broadway
Lexington, KY 40504
Phone (859) 258-4181

1760 Nicholasville Rd
Ste 301
Lexington, KY 40503
Phone (606) 277-5766

250 Foxglove Dr
Ste 5
Mt Sterling, KY 40353
Phone (859) 497-5834

1114 McCann Dr
Winchester, KY 40391
Phone (606) 737-5307

Interoperability endpoints

  • Direct secure messaging: charles.ray.1@13059.direct.athenahealth.com
  • Direct secure messaging: cray289887@direct.stlukeshealth.org
  • Direct secure messaging: charlesray@kysjhspe.allscriptsdirect.net

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 5

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": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364428800000",
    "number": "1356348429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2444 HARRODSBURG RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032162",
            "telephone_number": "859-258-6950",
            "fax_number": "859-277-3406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2444 HARRODSBURG RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032162",
            "telephone_number": "859-277-5766",
            "fax_number": "859-277-3406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "CHARLES",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2013-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "KY",
            "license": "27795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64277957",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.