Active NPI
Erik Sandhu Ray, M.D.
- Diagnostic Radiology Physician
- Appleton, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 67407-20
- Practice address
- 2500 E Capitol Dr
Appleton, WI 54911-8735 - Phone
- (920) 739-5642
- Fax
- (920) 202-8236
- NPI assigned
- Sep 27, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD60020359 | WA | |
| Diagnostic Radiology Physician | 2085R0202X | 67407-20 | WI | Primary |
Addresses
Primary practice location
2500 E Capitol Dr
Appleton, WI 54911-8735
Mailing address
2500 E Capitol Dr
Appleton, WI 54911-8735
Phone (920) 739-5642
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 292190 | Other | WA | L&I PROVIDER ID |
| 292196 | Other | WA | L&I PROVIDER ID |
| 1091880 | Medicaid | WA | |
| 292192 | Other | WA | L&I PROVIDER ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, WI, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Radiology
- Education
- Chicago College of Medicine and Surgery, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14200 W Celebrate Life Way
Goodyear, AZ 85338-3007
Phone (623) 207-3000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67407-20 | WI | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thedacare, Incorporated | Family Medicine | Current | Accepting new patients |
| Radiology Associates of Appleton, S.C. | Diagnostic Radiology | Current | Accepting new patients |
| The Association of University Physicians | Family Medicine | Current | Accepting new patients |
| City of Hope Medical Group of Arizona LLC | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Associates of Appleton, S.C. | Past | Accepting new patients |
Locations
14200 W Celebrate Life Way
Goodyear, AZ 85338
Phone (623) 207-3000
6897 Paysphere Cir
Chicago, IL 60674
Phone (480) 586-7542
12040 NE 128th St
Kirkland, WA 98034
Phone (425) 899-1000
1025 153rd St SE
Ste 200
Mill Creek, WA 98012
Phone (425) 338-4000
500 17th Ave
Seattle, WA 98122
Phone (206) 320-2111
1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333
820 N Chelan Ave
Wenatchee, WA 98801
Phone (509) 863-4868
5471 W Waterford Ln
Appleton, WI 54913
229 S Morrison St
Appleton, WI 54911
Phone (920) 832-2783
4480 W Spencer St
Appleton, WI 54914
Phone (920) 738-4800
3916 N Intertech Ct
Appleton, WI 54913
Phone (920) 996-1000
2400 E Capitol Dr
Appleton, WI 54911
Phone (920) 731-4101
1818 N Meade St
Appleton, WI 54911
Phone (920) 731-4101
3925 N Gateway Dr
Appleton, WI 54913
Phone (920) 702-6371
2500 E Capitol Dr
Appleton, WI 54911
Phone (920) 738-4600
W5282 Amy Ave
Appleton, WI 54915
Phone (920) 358-1900
1010 S Oneida St
Appleton, WI 54915
Phone (920) 733-7726
225 Memorial Dr
Berlin, WI 54923
Phone (920) 361-1313
W12802 County Road A
Bowler, WI 54416
Phone (715) 793-4144
370 S Main St
Clintonville, WI 54929
Phone (715) 526-7370
305 E 12th St
Kaukauna, WI 54130
Phone (920) 731-3111
2005 Midway Rd
Menasha, WI 54952
Phone (920) 380-4812
1265 West American Dr
#100
Neenah, WI 54956
Phone (920) 722-7747
100 Cty Road B
Shawano, WI 54166
Phone (715) 524-2161
601 Grove Ave
Wild Rose, WI 54984
Phone (888) 287-4488
Interoperability endpoints
- eray212377@cityofhope.direct-ci.com
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.
-
- Medical Oncology Physician
- Goodyear, AZ
- NPI 1609026806
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Appleton, WI
- NPI 1841229093
-
- Family Medicine Physician
- New London, WI
- NPI 1376656959
-
- Anesthesiology Physician
- Seattle, WA
- NPI 1023041159
Family Medicine
-
- Radiation Oncology Physician
- Appleton, WI
- NPI 1407941909
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Goodyear, AZ
- NPI 1508029422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536624000000",
"number": "1477740009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 E CAPITOL DR",
"city": "APPLETON",
"state": "WI",
"postal_code": "549118735",
"telephone_number": "920-739-5642",
"fax_number": "920-202-8236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 E CAPITOL DR",
"city": "APPLETON",
"state": "WI",
"postal_code": "549118735",
"telephone_number": "920-739-5642",
"fax_number": "920-202-8236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAY",
"first_name": "ERIK",
"middle_name": "SANDHU",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-27",
"last_updated": "2018-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WA",
"license": "MD60020359",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WI",
"license": "67407-20",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I PROVIDER ID",
"identifier": "292190",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I PROVIDER ID",
"identifier": "292196",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1091880",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I PROVIDER ID",
"identifier": "292192",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; 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.