Individual provider Active NPI

Jennifer G Ray, MD

  • Pediatrics Physician
  • Troy, MO
National Provider Identifier
1437478476
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2015023683 Issued in MO
Practice address
1177 E Cherry Street
Troy, MO 63379-1520
Phone
(636) 528-3377
Fax
(636) 528-3335
NPI assigned
May 28, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2015023683 MO Primary

Addresses

Primary practice location

1177 E Cherry Street
Troy, MO 63379-1520

Mailing address

1177 E Cherry Street
Troy, MO 63379-1520
Phone (636) 528-1919

Other identifiers 1

IdentifierTypeStateIssuer
200023860MedicaidMO

Other names 1

  • Jennifer G Bills Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20151001001829 MO Practitioner - Pediatric Medicine 4385878743 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Cardinal Glennon Childrens Hospital Pediatrics CurrentSince Aug 26, 2017 Accepting new patients
Mercy Hospital Lincoln CurrentSince Oct 3, 2022 Accepting new patients
SSM Health Care St Louis CurrentSince Jan 1, 2016 Accepting new patients
SSM Cardinal Glennon Children'S Hospital Pediatrics CurrentSince Aug 26, 2017 Accepting new patients
Mercy Hospital Lincoln CurrentSince Oct 3, 2022 Accepting new patients

Locations

7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189

12255 De Paul Dr
Ste 300
Bridgeton, MO 63044
Phone (314) 209-0933

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

300 Medical Plz
Ste 221
Lake St Louis, MO 63367
Phone (636) 561-2229

100 Medical Plz
Lake St Louis, MO 63367
Phone (636) 625-5200

2963 Doddridge Ave
Maryland Hts, MO 63043
Phone (314) 291-3909

1465 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 268-4070

6420 Clayton Rd
Saint Louis, MO 63117
Phone (314) 768-8442

164 Professional Pkwy
Troy, MO 63379
Phone (636) 462-5437

1165 E Cherry St
Troy, MO 63379
Phone (636) 528-1919

900 E Cherry St
Troy, MO 63379
Phone (636) 528-8585

Organizations & group practices 5

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": "1275004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1437478476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1177 E CHERRY STREET",
            "city": "TROY",
            "state": "MO",
            "postal_code": "633791520",
            "telephone_number": "636-528-1919",
            "fax_number": "636-528-1916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1177 E CHERRY STREET",
            "city": "TROY",
            "state": "MO",
            "postal_code": "633791520",
            "telephone_number": "636-528-3377",
            "fax_number": "636-528-3335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "JENNIFER",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-28",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2015023683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200023860",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "BILLS",
            "middle_name": "G",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Troy, MO

Sources for this page

Verify at the official NPI Registry.