Active NPI
Marianne C Ray, MD
- Family Medicine Physician
- Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 04-36636
- Practice address
- 1916 Grand Blvd
Kansas City, MO 64108-1803 - Phone
- (913) 297-7472
- Fax
- (816) 527-0171
- NPI assigned
- Jul 6, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 04-36636 | KS | Primary |
Addresses
Primary practice location
1916 Grand Blvd
Kansas City, MO 64108-1803
Mailing address
1916 Grand Blvd
Kansas City, MO 64108-1803
Phone (913) 297-7472
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | MRay13@centerwell.eclinicaldirectplus.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140522001074 | KS | Practitioner - Family Practice | 4486877313 | Reassigns benefits to 1 organization |
| I20220419001211 | MO | Practitioner - Family Practice | 4486877313 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Miami, LM Miller School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Centerwell Senior Primary Care Mo PCCenterwell Senior Primary Care KS PA
Practice addresses (Care Compare)
301 E Armour Blvd
Suite 2East
Kansas City, MO 64111-1245
Phone (816) 394-2082
7527 State Ave
Kansas City, KS 66112-2815
Phone (913) 335-6986
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-36636 | KS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centerwell Senior Primary Care KS PA | Family Medicine | Current | Accepting new patients |
| Centerwell Senior Primary Care (Mo) PC | Family Medicine | Current | Accepting new patients |
| Centerwell Senior Primary Care (Mo) PC | Family Medicine | Current | Accepting new patients |
| Centerwell Senior Primary Care KS PA | Family Medicine | Current | Accepting new patients |
Locations
7527 State Ave
Kansas City, KS 66112
Phone (913) 335-6986
16575 W 119th St
Olathe, KS 66061
Phone (913) 815-5008
1513 Main St
Grandview, MO 64030
Phone (816) 731-1890
19401 E 39th St S
Independence, MO 64057
Phone (816) 490-4277
Interoperability endpoints
- marianne.ray@centerwell.eclinicaldirectplus.com
- mray13@centerwell.eclinicaldirectplus.com
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.
-
- Internal Medicine Physician
- Kansas City, MO
- NPI 1639692098
Family Medicine, MO
-
- Internal Medicine Physician
- Olathe, KS
- NPI 1013438654
Family Medicine, KS
-
- Internal Medicine Physician
- Kansas City, MO
- NPI 1518787076
Family Medicine
-
- Internal Medicine Physician
- Wichita, KS
- NPI 1013737576
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660262400000",
"number": "1457580060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1916 GRAND BLVD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641081803",
"telephone_number": "913-297-7472",
"fax_number": "816-527-0171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1916 GRAND BLVD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641081803",
"telephone_number": "913-297-7472",
"fax_number": "816-527-0171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAY",
"first_name": "MARIANNE",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-06",
"last_updated": "2022-08-12",
"certification_date": "2022-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KS",
"license": "04-36636",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "MRay13@centerwell.eclinicaldirectplus.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1916 Grand Blvd",
"city": "Kansas City",
"state": "MO",
"country_code": "US",
"postal_code": "641081803",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.