Individual provider Active NPI

Michael Douglas Ray, DC

  • Chiropractor
  • Newburgh, IN
National Provider Identifier
1376069716
Registry record updated Apr 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002985A Issued in IN
Practice address
100 Alexandria
Newburgh, IN 47630-2417
Phone
(217) 553-7125
NPI assigned
Aug 17, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08002985A IN Primary

Addresses

Primary practice location

100 Alexandria
Newburgh, IN 47630-2417

Mailing address

100 Alexandria
Newburgh, IN 47630-2417

Other practice location 1

5744 Morningside Dr
Newburgh, IN 47630-9204
Phone (217) 553-7125

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180504001654 IN Practitioner - Chiropractic 9234493941 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Integrated Rehab IncGroup PAC ID 5294037883, 3 clinicians

Practice addresses (Care Compare)

958 S Kenmore Dr
Integrated Physical Medicine
Evansville, IN 47714-7513
Phone (812) 401-2140

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Integrity Asset Group LLC Chiropractor CurrentSince Jan 13, 2026 Accepting new patients
Integrated Rehab Inc Chiropractor CurrentSince May 1, 2018 Accepting new patients

Locations

958 S Kenmore Dr
Evansville, IN 47714
Phone (812) 401-2140

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524182400000",
    "number": "1376069716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ALEXANDRIA",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476302417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ALEXANDRIA",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476302417",
            "telephone_number": "217-553-7125"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5744 Morningside Dr",
            "address_purpose": "LOCATION",
            "city": "Newburgh",
            "state": "IN",
            "postal_code": "476309204",
            "country_code": "US",
            "telephone_number": "217-553-7125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAY",
        "first_name": "MICHAEL",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-17",
        "last_updated": "2018-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002985A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.