NPIMap

Individual provider Active NPI

Dustin L. Ray, M.D.

  • Surgery of the Hand (Surgery) Physician
  • Dallas, TX
National Provider Identifier
1639351216
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Surgery) PhysicianTaxonomy code 2086S0105X
License
N6605 Issued in TX
Practice address
9 Medical Pkwy Ste 101
Dallas, TX 75234-7852
Phone
(888) 544-3339
Fax
(214) 853-5728
NPI assigned
Dec 5, 2007
Last updated
Aug 5, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery of the Hand (Surgery) Physician 2086S0105X N6605 TX Primary

Addresses

Primary practice location

9 Medical Pkwy Ste 101
Dallas, TX 75234-7852

Mailing address

9 Medical Pkwy Ste 101
Dallas, TX 75234-7852
Phone (888) 544-3339

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110314000922 TX Practitioner - Hand Surgery 1557543436 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hand Surgery
Education
Howard University College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lisbon Tech LLCGroup PAC ID 4183049315, 2 clinicians

Practice addresses (Care Compare)

10400 N Central Expy
Dallas, TX 75231-2297
Phone (972) 919-4747

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N6605TXMDSurgery of the Hand (Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MMV Associates, PLLC Surgery of the Hand Current Accepting new patients
Lisbon Tech LLC Surgery of the Hand CurrentSince Jul 1, 2020 Accepting new patients
Vector Medical Inc Current Accepting new patients
DRH Technical Services PastSince Apr 6, 2016 Accepting new patients
Dr. Dustin Ray, PLLC Surgery Past Accepting new patients
Liberty Surgical Associates Past Accepting new patients

Locations

6851 Oak Hall Ln
Ste 302
Columbia, MD 21045
Phone (800) 966-9150

9 Medical Pkwy
Ste 101
Dallas, TX 75234
Phone (888) 544-3339

10400 N Central Expy
Dallas, TX 75231
Phone (972) 884-4400

Interoperability endpoints

  • Direct secure messaging: dustin.ray.2@13131.direct.athenahealth.com
  • Direct secure messaging: dustin.ray.1@13131.direct.athenahealth.com

Organizations & group practices 8

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 4

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": "1196812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1639351216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MEDICAL PKWY STE 101",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752347852",
            "telephone_number": "888-544-3339",
            "fax_number": "214-853-5728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MEDICAL PKWY STE 101",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752347852",
            "telephone_number": "888-544-3339",
            "fax_number": "214-853-5728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "DUSTIN",
        "middle_name": "L.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-05",
        "last_updated": "2022-08-05",
        "certification_date": "2020-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "TX",
            "license": "N6605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.