Active NPI
Adrienne Ray, M.D.
- Obstetrics & Gynecology Physician
- Chicago, IL
National Provider Identifier
1659387538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 036085007
- Practice address
- 625 N Michigan Ave
Ste #210
Chicago, IL 60611-3110 - Phone
- (312) 670-2530
- Fax
- (312) 670-2630
- NPI assigned
- Jul 31, 2006
- Last updated
- Jul 1, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 036085007 | IL | Primary |
| Gynecology Physician | 207VG0400X | 036085007 | IL | |
| Obstetrics Physician | 207VX0000X | 036085007 | IL |
Addresses
Primary practice location
625 N Michigan Ave
Ste #210
Chicago, IL 60611-3110
Mailing address
625 N Michigan Ave
Ste #210
Chicago, IL 60611-3110
Phone (312) 670-2530
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036085007 | Medicaid | IL | |
| 1659387538 | Other | IL | INDIVIDUAL NPI |
| 31603891 | Other | IL | BC/BS PROVIDER NUMBER |
| 1821211129 | Other | IL | NPI GROUP NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309478400000",
"number": "1659387538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 N MICHIGAN AVE",
"address_2": "STE #210",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606113110",
"telephone_number": "312-670-2530",
"fax_number": "312-670-2630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 N MICHIGAN AVE",
"address_2": "STE #210",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606113110",
"telephone_number": "312-670-2530",
"fax_number": "312-670-2630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAY",
"first_name": "ADRIENNE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-31",
"last_updated": "2011-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IL",
"license": "036085007",
"primary": true
},
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "IL",
"license": "036085007",
"primary": false
},
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "IL",
"license": "036085007",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036085007",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1659387538",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS PROVIDER NUMBER",
"identifier": "31603891",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI GROUP NUMBER",
"identifier": "1821211129",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.