Individual provider Active NPI

Gary L Ray, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Hamilton, OH
National Provider Identifier
1407968001
Registry record updated Aug 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
35051763 Issued in OH
Practice address
1010 Cereal Ave Ste 212
Hamilton, OH 45013-2776
Phone
(513) 867-2730
Fax
(513) 867-2840
NPI assigned
Aug 31, 2006
Last updated
Aug 24, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 35051763 OH Primary

Addresses

Primary practice location

1010 Cereal Ave Ste 212
Hamilton, OH 45013-2776

Mailing address

1010 Cereal Ave Ste 212
Hamilton, OH 45013-2776
Phone (513) 867-2730

Other identifiers 1

IdentifierTypeStateIssuer
0589046MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20100419000018 OH Practitioner - Physical Medicine and Rehabilitation 2062516248 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of Cincinnati College of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1010 Cereal Ave
Suite 212
Hamilton, OH 45013-2776
Phone (513) 867-2730

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35051763OHMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gary L. Ray, MD, Inc. Physical Medicine & Rehabilitation CurrentSince Jan 1, 1997 Accepting new patients

Locations

1010 Cereal Ave
Ste 212
Hamilton, OH 45013
Phone (513) 867-2560

1010 Cereal Ave
Ste 311
Hamilton, OH 45013
Phone (513) 221-7200

Organizations & group practices 1

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1407968001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 CEREAL AVE STE 212",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450132776",
            "telephone_number": "513-867-2730",
            "fax_number": "513-867-2840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 CEREAL AVE STE 212",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450132776",
            "telephone_number": "513-867-2730",
            "fax_number": "513-867-2840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "GARY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OH",
            "license": "35051763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0589046",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, OH

Sources for this page

Verify at the official NPI Registry.