Active NPI
Dipes K Ray, M.D., MRCP
- Internal Medicine Physician
- Moyock, NC
National Provider Identifier
1649372566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 9701854
- Practice address
- 446 Caratoke Hwy
Moyock, NC 27958-8672 - Phone
- (252) 435-1275
- Fax
- (855) 348-4480
- NPI assigned
- Sep 1, 2006
- Last updated
- May 31, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101235920 | VA | |
| Internal Medicine Physician | 207R00000X | 9701854 | NC | Primary |
Addresses
Primary practice location
446 Caratoke Hwy
Moyock, NC 27958-8672
Mailing address
446 Caratoke Hwy
Moyock, NC 27958-8672
Phone (252) 435-1275
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 129829725 | Other | TRICARE | |
| 49-D1022562 | Other | CLIA | |
| 7687230 | Other | AETNA | |
| 010155941 | Medicaid | VA | |
| 3342321 | Other | CIGNA | |
| 61697 | Other | OPTIMA/SENTARA | |
| 861095408 | Other | VA HEALTH NETWORK | |
| 173326 | Other | VA | ANTHEM - BCBS |
| 173327 | Other | VA | ANTHEM - SUFFOLK |
| P00099937 | Other | VA | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9701854 | NC | MD | Internal Medicine Physician |
| 0101235920 | VA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Carolina Health | Past | Accepting new patients | |
| Vidant Medical Group LLC | Past | Accepting new patients |
Interoperability endpoints
- dray131910@direct.sentara.net
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba ECU Health Roanoke-Chowan Hospital
- Anesthesiology Physician
- Ahoskie, NC
- NPI 1093793473
-
- Multi-Specialty Clinic/Center
- Greenville, NC
- NPI 1477648731
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464652800000",
"number": "1649372566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "446 CARATOKE HWY",
"city": "MOYOCK",
"state": "NC",
"postal_code": "279588672",
"telephone_number": "252-435-1275",
"fax_number": "855-348-4480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "446 CARATOKE HWY",
"city": "MOYOCK",
"state": "NC",
"postal_code": "279588672",
"telephone_number": "252-435-1275",
"fax_number": "855-348-4480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAY",
"first_name": "DIPES",
"middle_name": "K",
"credential": "M.D., MRCP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-01",
"last_updated": "2016-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101235920",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "9701854",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "129829725",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "49-D1022562",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7687230",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010155941",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "3342321",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMA/SENTARA",
"identifier": "61697",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VA HEALTH NETWORK",
"identifier": "861095408",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM - BCBS",
"identifier": "173326",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM - SUFFOLK",
"identifier": "173327",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00099937",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Moyock, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.