Individual provider Active NPI

Erik Sandhu Ray, M.D.

  • Diagnostic Radiology Physician
  • Appleton, WI
National Provider Identifier
1477740009
Registry record updated Sep 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
67407-20 Issued in WI
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

Updated by the provider on Sep 11, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
292190OtherWAL&I PROVIDER ID
292196OtherWAL&I PROVIDER ID
1091880MedicaidWA
292192OtherWAL&I PROVIDER ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, WI, AZ3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20081001000375 WA Practitioner - Diagnostic Radiology 7517035744 Reassigns benefits to 1 organization
I20170814000038 WI Practitioner - Diagnostic Radiology 7517035744 Reassigns benefits to 2 organizations
I20250106002023 AZ Practitioner - Interventional Radiology 7517035744 Reassigns benefits to 1 organization

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
City of Hope Medical Group of Arizona LLCGroup PAC ID 2264593474, 159 clinicians

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

LicenseStateTypeSpecialty
67407-20WIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thedacare, Incorporated Family Medicine CurrentSince Jul 22, 2017 Accepting new patients
Radiology Associates of Appleton, S.C. Diagnostic Radiology CurrentSince Jul 1, 2017 Accepting new patients
The Association of University Physicians Family Medicine CurrentSince Sep 1, 2008 Accepting new patients
City of Hope Medical Group of Arizona LLC Diagnostic Radiology CurrentSince Dec 1, 2024 Accepting new patients
Radiology Associates of Appleton, S.C. PastSince Mar 26, 2023 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.