Brian David Ray, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

3734 Issued in IA

Practice address

400 S. Blairsferry Crossing
Suite a
Hiawatha, IA 52233-7988

Phone

(319) 393-0783

Fax

(319) 393-0427

NPI assigned

Mar 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IA

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

Specialty

Family Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Iowa Physicians Clinic Medical Foundation 1,254 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Unitypoint at Home Home health agency, Cedar Rapids, IA, CCN 167005
• Aveanna Healthcare Home health agency, Hiawatha, IA, CCN 167313
• St Lukes Hospital Hospital, Cedar Rapids, IA, CCN 160045
• Mercy Medical Center - Cedar Rapids Hospital, Cedar Rapids, IA, CCN 160079

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bray40159@direct.unitypoint.org

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.

• Iowa Physicians Clinic Medical Foundation

  • General Practice Physician
  • West Des Moines, IA
  • NPI 1366425274

  Family Medicine, IA

  Medicare reassignment Care Compare group NPD
• Iowa Physicians Clinic Medical Foundation

  • Clinical Medical Laboratory
  • Cedar Falls, IA
  • NPI 1538617840
  Care Compare group
• St Luke'S Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226
  NPD
• Floyd County Memorial Hospital Commission

  • Critical Access Hospital
  • Charles City, IA
  • NPI 1265402390

  Family Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mercy Medical Center

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1720029333

  Hospital

  Care Compare affiliation
• Recover Health of Iowa, Inc.

  • Home Health Agency
  • Hiawatha, IA
  • NPI 1831196153
  Care Compare affiliation
• St Luke'S Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226

  Hospital

  Care Compare affiliation
• Unitypoint at Home

  • Home Health Agency
  • Cedar Rapids, IA
  • NPI 1528595865
  Care Compare affiliation

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

{
    "created_epoch": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320105600000",
    "number": "1528029501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S. BLAIRSFERRY CROSSING",
            "address_2": "SUITE A",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522337988",
            "telephone_number": "319-393-0783",
            "fax_number": "319-393-0427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S. BLAIRSFERRY CROSSING",
            "address_2": "SUITE A",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522337988",
            "telephone_number": "319-393-0783",
            "fax_number": "319-393-0427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "BRIAN",
        "middle_name": "DAVID",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-30",
        "last_updated": "2011-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "R7651",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "3734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00708643",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528029501",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Prism Psychiatric Group LLC
• Prism Therapy Group LLC
• Proactive Pediatric Therapy, LLC
• Professional Security Corporation
• Promise House Hiawatha Inc.
• Douglas James Recker, DDS
• Recover Health of Iowa, Inc.
• Megan Catherine Rector
• Kathryn Ramey Reed, M.D.
• Isaac Pius Reis, D.C.

• All providers in Hiawatha, IA
• Family Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; 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.

Verify at the official NPI Registry.