Active NPI
Piyali Das Ray, M.D
- Pediatric Gastroenterology Physician
- Lakeland, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- License
- ME137577
- Practice address
- 1324 Lakeland Hills Blvd Ste a
Lakeland, FL 33805-4543 - Phone
- (361) 549-4349
- Fax
- (407) 650-7256
- NPI assigned
- Oct 25, 2012
- Reactivated
- Oct 3, 2022
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | P3241 | TX | |
| Pediatric Gastroenterology Physician | 2080P0206X | P3241 | TX | |
| Pediatric Gastroenterology Physician | 2080P0206X | A157614 | CA | |
| Pediatric Gastroenterology Physician | 2080P0206X | ME137577 | FL | Primary |
Addresses
Primary practice location
1324 Lakeland Hills Blvd Ste a
Lakeland, FL 33805-4543
Mailing address
6535 Nemours Pkwy
Orlando, FL 32827-7884
Phone (361) 549-4349
Other practice location 1
6535 Nemours Pkwy
Orlando, FL 32827-7884
Phone (361) 549-4349
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101176500 | Medicaid | FL | |
| 310113102 | Medicaid | TX | |
| 310113103 | Other | TX | CSHCN |
Other names 1
- Piyali Das Sengupta
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1324 Lakeland Hill Blvd
Lakeland, FL 33805-4543
Phone (407) 650-7000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A157614 | CA | MD | Pediatric Gastroenterology Physician |
| P3241 | TX | MD | Pediatric Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Nemours Foundation | Current | Accepting new patients | |
| The Nemours Foundation | Current | Accepting new patients | |
| The Nemours Foundation | Current | Accepting new patients |
Locations
807 Childrens Way
Jacksonville, FL 32207
Phone (904) 390-3600
10140 Centurion Pkwy N
Jacksonville, FL 32256
Phone (904) 697-4100
1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132
1324 Lakeland Hills Blvd
Ste A
Lakeland, FL 33805
Phone (361) 549-4349
6535 Nemours Pkwy
Orlando, FL 32827
Phone (407) 567-4000
Interoperability endpoints
- pray75455@direct.nemours.org
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Jacksonville, FL
- NPI 1386658615
-
- Multi-Specialty Clinic/Center
- Jacksonville, FL
- NPI 1265585806
-
- Children's Hospital
- Wilmington, DE
- NPI 1467505073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667174400000",
"number": "1508119744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6535 NEMOURS PKWY",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328277884",
"telephone_number": "361-549-4349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1324 LAKELAND HILLS BLVD STE A",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338054543",
"telephone_number": "361-549-4349",
"fax_number": "407-650-7256"
}
],
"practiceLocations": [
{
"address_1": "6535 Nemours Pkwy",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328277884",
"country_code": "US",
"telephone_number": "361-549-4349",
"fax_number": "407-650-7256",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAY",
"first_name": "PIYALI",
"middle_name": "DAS",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-25",
"last_updated": "2022-10-31",
"certification_date": "2022-10-31",
"deactivation_date": "2022-08-12",
"reactivation_date": "2022-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "P3241",
"primary": false
},
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "TX",
"license": "P3241",
"primary": false
},
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "CA",
"license": "A157614",
"primary": false
},
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "FL",
"license": "ME137577",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101176500",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "310113102",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CSHCN",
"identifier": "310113103",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PIYALI",
"last_name": "SENGUPTA",
"middle_name": "DAS",
"credential": "M.D",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.