Individual provider Active NPI

Thaddeus Alexas Ray, D.O.

  • Interventional Pain Medicine Physician
  • Oro Valley, AZ
National Provider Identifier
1679535298
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
010355 Issued in AZ
Practice address
12315 N Vistoso Park Rd
Oro Valley, AZ 85755-5819
Phone
(520) 784-6200
Fax
(520) 784-6109
NPI assigned
Apr 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X A-1463-08 NM
Interventional Pain Medicine Physician 208VP0014X 010355 AZ Primary

Addresses

Primary practice location

12315 N Vistoso Park Rd
Oro Valley, AZ 85755-5819

Mailing address

PO Box 31630
Tucson, AZ 85751-1630
Phone (520) 784-6200

Other identifiers 7

IdentifierTypeStateIssuer
11553251MedicaidCO
P00896733OtherNMR R MEDICARE
470441MedicaidAZ
7129724OtherNMAETNA
89731034MedicaidNM
202039285OtherNMPRESBYTERIAN HEALTH PLAN
1679535298MedicaidUT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20230612002494 AZ Practitioner - Pain Management 1456324748 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
University of Kansas School of Med (KC/Wich/Sal), 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tucson Orthopaedic Institute Professional CorporationGroup PAC ID 5799671905, 108 clinicians

Practice addresses (Care Compare)

12315 N Vistoso Park Rd
Oro Valley, AZ 85755-5819
Phone (520) 544-9700

Hospital & facility affiliations

  • Oro Valley Hospital Hospital, Oro Valley, AZ, CCN 030114

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
03680IAMDSocial Worker
010355AZMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emil H Annabi MD PC CurrentSince Jun 1, 2023 Accepting new patients
Tucson Orthopaedic Institute Professional Corporation CurrentSince Apr 1, 2024 Accepting new patients
Tucson Orthopaedic Institute Professional Corporation CurrentSince Apr 1, 2024 Accepting new patients
Emil H Annabi MD PC PastSince Feb 18, 2024 Accepting new patients
Emil H Annabi MD PC PastSince Feb 18, 2024 Accepting new patients
Tres Rios Anesthesiology LLC Past Accepting new patients
San Juan Regional Medical Center Inc Past Accepting new patients

Locations

4485 S I 19 Frontage Rd
#100
Green Valley, AZ 85614
Phone (520) 399-6000

13395 N Marana Main St
Fl 2
Marana, AZ 85653
Phone (520) 399-0000

2158 N Gilbert Rd
Ste 121
Mesa, AZ 85203
Phone (480) 461-0150

12315 N Vistoso Park Rd
Oro Valley, AZ 85755
Phone (520) 382-8180

6226 E Pima St
Ste 3
Tucson, AZ 85712
Phone (520) 323-1600

4601 E Broadway Blvd
Tucson, AZ 85711
Phone (520) 399-6000

5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344

1310 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 399-6000

6320 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 219-9125

395 N Silverbell Rd
Ste 101
Tucson, AZ 85745
Phone (520) 882-0696

7530 N Oracle Rd
Ste 200
Tucson, AZ 85704
Phone (520) 399-6000

6840 E Broadway Blvd
Tucson, AZ 85710
Phone (520) 399-6000

2275 W Magee Rd
Ste 111
Tucson, AZ 85742
Phone (520) 399-6000

6320 N La Cholla Blvd
Ste 200
Tucson, AZ 85741

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1679535298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31630",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857511630",
            "telephone_number": "520-784-6200",
            "fax_number": "520-784-6109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12315 N VISTOSO PARK RD",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857555819",
            "telephone_number": "520-784-6200",
            "fax_number": "520-784-6109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "THADDEUS",
        "middle_name": "ALEXAS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NM",
            "license": "A-1463-08",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "AZ",
            "license": "010355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11553251",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "R R   MEDICARE",
            "identifier": "P00896733",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "470441",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7129724",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89731034",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESBYTERIAN HEALTH PLAN",
            "identifier": "202039285",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679535298",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oro Valley, AZ

Sources for this page

Verify at the official NPI Registry.