Individual provider Active NPI

Dipes K Ray, M.D., MRCP

  • Internal Medicine Physician
  • Moyock, NC
National Provider Identifier
1649372566
Registry record updated May 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
9701854 Issued in NC
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, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
129829725OtherTRICARE
49-D1022562OtherCLIA
7687230OtherAETNA
010155941MedicaidVA
3342321OtherCIGNA
61697OtherOPTIMA/SENTARA
861095408OtherVA HEALTH NETWORK
173326OtherVAANTHEM - BCBS
173327OtherVAANTHEM - SUFFOLK
P00099937OtherVARAILROAD 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140324001303 NC Practitioner - Internal Medicine 2264406990 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9701854NCMDInternal Medicine Physician
0101235920VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Carolina Health Past Accepting new patients
Vidant Medical Group LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.