Individual provider Active NPI

Kathryn Anne Ray, MD

  • Family Medicine Physician
  • Woodward, OK
National Provider Identifier
1477648517
Registry record updated Oct 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20820 Issued in OK
Practice address
916 19TH St
Woodward, OK 73801-2334
Phone
(580) 256-2188
Fax
(580) 256-2281
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20820 OK Primary

Addresses

Primary practice location

916 19TH St
Woodward, OK 73801-2334

Mailing address

916 19TH St
Woodward, OK 73801-2334
Phone (580) 256-2188

Other identifiers 1

IdentifierTypeStateIssuer
100126380AMedicaidOK

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kathryn.ray.7@1601.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20040706000077 OK Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 8628055993 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Obstetrics/Gynecology
Education
University of Oklahoma College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saints Medical Group, LLCGroup PAC ID 7012914898, 430 clinicians

Practice addresses (Care Compare)

1110 N Lee Ave
Suite 200
Oklahoma City, OK 73103-2612
Phone (405) 218-2530

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.96 of 100Reported as group
Quality
80.43
Promoting interoperability
100
Improvement activities
40
Cost
72.76

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20820OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integris Ambulatory Care Corporation Family Medicine CurrentSince Aug 10, 2024 Accepting new patients
Saints Medical Group, LLC CurrentSince Jul 28, 2024 Accepting new patients
Saints Medical Group, LLC Family Medicine CurrentSince Jul 28, 2024 Accepting new patients
DRS Ray PLLC Family Medicine PastSince Aug 1, 2000 Accepting new patients
Summit Medical Center Past Accepting new patients
SSM Health Care of Oklahoma, Inc. Past Accepting new patients

Locations

800 Share Dr
Alva, OK 73717
Phone (580) 327-2800

600 S Monroe St
Enid, OK 73701
Phone (580) 233-2300

1110 N Lee Ave
Oklahoma City, OK 73103
Phone (405) 232-0341

3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589

608 NW 9th St
Ste 2200
Oklahoma City, OK 73102
Phone (405) 231-3737

1110 N Lee Ave
Ste 200
Oklahoma City, OK 73103
Phone (405) 218-2530

1110 N Lee Ave
Ste 300
Oklahoma City, OK 73103
Phone (405) 231-3000

1650 Main St
Ste D
Woodward, OK 73801
Phone (405) 604-4577

900 17th St
Woodward, OK 73801
Phone (405) 610-4411

Interoperability endpoints

  • Direct secure messaging: kathryn.ray.1@1601.direct.athenahealth.com
  • Direct secure messaging: kray515100@direct-ehr-ssmhc.com
  • Direct secure messaging: kray797518@direct.ochin.org
  • Direct secure messaging: kathy.ray.1@17372.direct.athenahealth.com
  • Direct secure messaging: kathryn.ray.7@1601.direct.athenahealth.com
  • Direct secure messaging: kathryn.ray.8@1601.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Integris Health Medical GroupWoodward, OK, CCN 373476 Rural health clinic Contracted Managing Employee
Operational/Managerial Control
Nov 1, 2023
Nov 1, 2023
Integris Health Medical GroupMooreland, OK, CCN 373482 Rural health clinic Contracted Managing Employee
Operational/Managerial Control
Nov 1, 2023
Nov 1, 2023

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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 2

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603411200000",
    "number": "1477648517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 19TH ST",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738012334",
            "telephone_number": "580-256-2188",
            "fax_number": "580-256-2281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 19TH ST",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738012334",
            "telephone_number": "580-256-2188",
            "fax_number": "580-256-2281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "KATHRYN",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "20820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100126380A",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kathryn.ray.7@1601.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "916 19th St",
            "city": "Woodward",
            "state": "OK",
            "country_code": "US",
            "postal_code": "738012334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Woodward, OK

Sources for this page

Verify at the official NPI Registry.