Individual provider Active NPI

Hilton C. Ray, MD

  • Family Medicine Physician
  • Lamar, CO
National Provider Identifier
1568464618
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DR28959 Issued in CO
Practice address
403 Kendall Dr
Lamar, CO 81052-3953
Phone
(719) 336-6767
Fax
(719) 336-7217
NPI assigned
Aug 10, 2005
Last updated
Jun 29, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DR28959 CO Primary

Addresses

Primary practice location

403 Kendall Dr
Lamar, CO 81052-3953

Mailing address

403 Kendall Dr
Lamar, CO 81052-3953
Phone (719) 336-6767

Other identifiers 2

IdentifierTypeStateIssuer
01289594MedicaidCO
P00174756OtherCORAILROAD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ehr-direct@prowersmedicalcenterclinic.hin.us

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, KS2 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
I20101207000906 CO Practitioner - Family Practice 5991694424 Reassigns benefits to 1 organization
I20220301002522 KS Practitioner - Family Practice 5991694424 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Virginia School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Goodland Regional Medical CenterGroup PAC ID 3375535263, shared by 4 NPIs, 22 clinicians

Practice addresses (Care Compare)

106 Willow Rd
Goodland, KS 67735-1518
Phone (785) 890-6012

220 W 2ND St
Goodland, KS 67735-1602
Phone (785) 890-6012

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR28959COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Goodland Regional Medical Center Current Accepting new patients
Goodland Regional Medical Center Family Medicine CurrentSince Mar 1, 2022 Accepting new patients
Goodland Regional Medical Center Current Accepting new patients
Prowers County Hospital District CurrentSince Feb 7, 2011 Accepting new patients
Goodland Regional Medical Center CurrentSince Mar 1, 2022 Accepting new patients

Locations

401 Kendall Dr
Lamar, CO 81052
Phone (719) 336-4343

403 Kendall Dr
Lamar, CO 81052
Phone (719) 336-6767

106 Willow Rd
Goodland, KS 67735
Phone (785) 890-6012

220 W 2nd St
Goodland, KS 67735
Phone (785) 890-3625

Interoperability endpoints

  • Direct secure messaging: hilton.ray.1@17074.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1568464618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 KENDALL DR",
            "city": "LAMAR",
            "state": "CO",
            "postal_code": "810523953",
            "telephone_number": "719-336-6767",
            "fax_number": "719-336-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 KENDALL DR",
            "city": "LAMAR",
            "state": "CO",
            "postal_code": "810523953",
            "telephone_number": "719-336-6767",
            "fax_number": "719-336-7217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "HILTON",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR28959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01289594",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00174756",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ehr-direct@prowersmedicalcenterclinic.hin.us",
            "affiliation": "N",
            "address_1": "403 Kendall Dr",
            "city": "LaMar",
            "state": "CO",
            "country_code": "US",
            "postal_code": "810523953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lamar, CO

Sources for this page

Verify at the official NPI Registry.