Individual provider Active NPI

Jennifer K. Ray, MD

  • Diagnostic Radiology Physician
  • West Seneca, NY
National Provider Identifier
1508871930
Registry record updated Jan 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
231784 Issued in NY
Practice address
3050 Orchard Park Rd
West Seneca, NY 14224-4658
Phone
(716) 558-5400
NPI assigned
Jul 31, 2006
Last updated
Jan 20, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 231784 NY Primary

Addresses

Primary practice location

3050 Orchard Park Rd
West Seneca, NY 14224-4658

Mailing address

3040 Amsdell Rd
Hamburg, NY 14075-5835
Phone (716) 649-9000

Other identifiers 7

IdentifierTypeStateIssuer
070119000041OtherNYFIDELIS CARE OF NEW YORK
02686377MedicaidNY
1609206OtherNYINDEPENDENT HEALTH
000528428003OtherNYBCBS
209606FFOtherNYPREFERRED CARE
P00379449OtherNYRR MEDICARE
00027256203OtherNYUNIVERA HEALTHCARE

Other names 1

  • Jennifer Kam Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20051111000136 NY Practitioner - Diagnostic Radiology 8224056379 Reassigns benefits to 2 organizations
I20210721000562 FL Practitioner - Diagnostic Radiology 8224056379 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
State University of New York at Buffalo School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians
Intercoastal Medical Group IncGroup PAC ID 6305730912, 176 clinicians

Practice addresses (Care Compare)

10689 Big Bend Rd
Riverview, FL 33579-7176
Phone (904) 399-5550

11505 Rangeland Pkwy
Bradenton, FL 34211-4041
Phone (941) 907-6016

2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 399-5550

2881 Hyde Park St
Sarasota, FL 34239-3228
Phone (941) 906-7155

3050 NE 164TH St
Miami, FL 33160-4131
Phone (904) 399-5550

3333 Cattlemen Rd
Sarasota, FL 34232-6057

5900 College Rd
Key West, FL 33040-4342
Phone (904) 399-5550

921 S Beneva Rd
Sarasota, FL 34232-2401
Phone (941) 365-7390

943 S Beneva Rd
FL 1
Sarasota, FL 34232-2476
Phone (941) 955-6748

943 S Beneva Rd
Suite 113
Sarasota, FL 34232-2471
Phone (941) 316-0133

965 S Beneva Rd
Sarasota, FL 34232-2401
Phone (941) 366-1888

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.06 of 100Reported as group
Quality
72.79
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
231784NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southtowns Radiology Associates, LLC Diagnostic Radiology CurrentSince Jan 1, 2007 Accepting new patients
Intercoastal Medical Group Inc CurrentSince Jan 8, 2025 Accepting new patients
Empire State Radiology P C Diagnostic Radiology Past Accepting new patients
Sisters Diagnostic Imaging Associates Diagnostic Radiology Past Accepting new patients
Tower Imaging LLC Diagnostic Radiology Past Accepting new patients
Southtowns Radiology Associates, LLC Diagnostic Radiology Past Accepting new patients
Seton Imaging Radiology PLLC Diagnostic Radiology Past Accepting new patients

Locations

921 S Beneva Rd
Sarasota, FL 34232
Phone (941) 365-7390

943 S Beneva Rd
Ste 306
Sarasota, FL 34232
Phone (941) 362-8644

2157 Main St
Buffalo, NY 14214
Phone (716) 862-1501

565 Abbott Rd
Buffalo, NY 14220
Phone (716) 826-7000

3040 Amsdell Rd
Hamburg, NY 14075
Phone (716) 646-6700

3669 Southwestern Blvd
Orchard Park, NY 14127
Phone (716) 662-0500

Organizations & group practices 9

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.

Hospital & facility affiliations 5

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421712000000",
    "number": "1508871930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3040 AMSDELL RD",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140755835",
            "telephone_number": "716-649-9000",
            "fax_number": "716-649-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 ORCHARD PARK RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142244658",
            "telephone_number": "716-558-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "JENNIFER",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2015-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "231784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS CARE OF NEW YORK",
            "identifier": "070119000041",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02686377",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "1609206",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000528428003",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "209606FF",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00379449",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA HEALTHCARE",
            "identifier": "00027256203",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "KAM",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Seneca, NY

Sources for this page

Verify at the official NPI Registry.