Individual provider Active NPI

Adam Taylor Wray, D.O.

  • Obstetrics & Gynecology Physician
  • Riverton, UT
National Provider Identifier
1497289193
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
12165023-1204 Issued in UT
Practice address
12842 S 3600 W Ste 200
Riverton, UT 84065-6851
Phone
(801) 285-4800
Fax
(801) 285-4801
NPI assigned
Apr 19, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 12165023-1204 UT Primary

Addresses

Primary practice location

12842 S 3600 W Ste 200
Riverton, UT 84065-6851

Mailing address

12842 S 3600 W Ste 200
Riverton, UT 84065-6851
Phone (801) 285-4800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20220321000967 UT Practitioner - Obstetrics/Gynecology 3173918687 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western Gynecological and Obstetrical Clinic IncGroup PAC ID 8325946700, 5 clinicians

Practice addresses (Care Compare)

12842 S 3600
Suite 200
Riverton, UT 84065-6853
Phone (801) 285-4800

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12165023-1204UTMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western Gynecological and Obstetrical Clinic, Inc. Obstetrics & Gynecology CurrentSince Nov 16, 2021 Accepting new patients

Locations

12842 S 3600 W
Ste 200
Riverton, UT 84065
Phone (801) 285-4800

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1497289193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12842 S 3600 W STE 200",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840656851",
            "telephone_number": "801-285-4800",
            "fax_number": "801-285-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12842 S 3600 W STE 200",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840656851",
            "telephone_number": "801-285-4800",
            "fax_number": "801-285-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRAY",
        "first_name": "ADAM",
        "middle_name": "TAYLOR",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-19",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "UT",
            "license": "12165023-1204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverton, UT

Sources for this page

Verify at the official NPI Registry.