Individual provider Active NPI

Albert Ray, M.D.

  • Specialist
  • Miami, FL
National Provider Identifier
1659370096
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0026578 Issued in FL
Practice address
12985 SW 130TH CT Unit 212
Miami, FL 33186-5347
Phone
(305) 595-4681
Fax
(305) 273-9584
NPI assigned
Jul 19, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME0026578 FL Primary

Addresses

Primary practice location

12985 SW 130TH CT Unit 212
Miami, FL 33186-5347

Mailing address

12985 SW 130TH CT Unit 212
Miami, FL 33186-5347
Phone (305) 595-4681

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040114000006 FL Practitioner - Pain ManagementPractitioner - Psychiatry 1850292848 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12985 SW 130TH CT
Unit 212
Miami, FL 33186-5347
Phone (305) 595-4681

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0026578FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Lite LLC CurrentSince Nov 17, 2013 Accepting new patients

Locations

12985 SW 130th Ct
Unit 212
Miami, FL 33186
Phone (305) 595-4681

5901 SW 74th St
Ste 201
South Miami, FL 33143
Phone (305) 595-4681

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1659370096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12985 SW 130TH CT UNIT 212",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331865347",
            "telephone_number": "305-595-4681",
            "fax_number": "305-273-9584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12985 SW 130TH CT UNIT 212",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331865347",
            "telephone_number": "305-595-4681",
            "fax_number": "305-273-9584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "ALBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0026578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.