Individual provider Active NPI

Sharrie A Ray, M.D.

  • Internal Medicine Physician
  • San Francisco, CA
National Provider Identifier
1689751372
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.058118 Issued in OH
Practice address
101 Mission St Ste 800101
San Francisco, CA 94105-1705
Phone
(800) 221-5146
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35.058118 OH Primary

Addresses

Primary practice location

101 Mission St Ste 800101
San Francisco, CA 94105-1705

Mailing address

6096 Congressional Dr
Westerville, OH 43082-8335
Phone (614) 406-5818

Other identifiers 1

IdentifierTypeStateIssuer
0756838MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20050413000499 OH Practitioner - Internal Medicine 1153368931 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.058118OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Vernon Developmental Center CurrentSince Jul 1, 2021 Accepting new patients
State of Ohio Office of Budget and Management State Accounting CurrentSince Jul 1, 2021 Accepting new patients
Dedicated Columbus Ohio, LLC Internal Medicine CurrentSince Nov 4, 2019 Accepting new patients
Central Ohio Nutrition Center CurrentSince Jul 1, 2013 Accepting new patients
Theoria Medical Internal Medicine CurrentSince Sep 1, 2020 Accepting new patients
State of Ohio Office of Budget and Management State Accounting Current Accepting new patients
Dedicated Columbus Ohio, LLC CurrentSince Nov 4, 2019 Accepting new patients
Central Ohio Nutrition Center, Inc Current Accepting new patients
Central Ohio Nutrition Center, Inc Past Accepting new patients

Locations

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

1904 Bethel Rd
Columbus, OH 43220
Phone (614) 451-1910

1601 W Broad St
Columbus, OH 43222
Phone (614) 272-0509

2260 Morse Rd
Columbus, OH 43229
Phone (305) 831-4453

30 E Broad St
Fl 11
Columbus, OH 43215
Phone (614) 466-9930

5156 E Main St
Columbus, OH 43213
Phone (614) 702-7655

648 Taylor Rd
Gahanna, OH 43230
Phone (614) 864-7225

5471 Scioto Darby Rd
Hilliard, OH 43026
Phone (614) 794-8800

450 Alkyre Run
Ste 120
Westerville, OH 43082
Phone (614) 847-6008

1030 High St
Worthington, OH 43085
Phone (614) 876-7356

Interoperability endpoints

  • Direct secure messaging: ms_sray98@landmarkhealth-direct.org

Organizations & group practices 9

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1689751372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6096 CONGRESSIONAL DR",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430828335",
            "telephone_number": "614-406-5818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MISSION ST STE 800101",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941051705",
            "telephone_number": "800-221-5146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "SHARRIE",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.058118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0756838",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.