Individual provider Active NPI

Karen V Ray, M.D

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • PT Charlotte, FL
National Provider Identifier
1710984281
Registry record updated Feb 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
License
ME82638 Issued in FL
Practice address
12034 N. Access Rd.
PT Charlotte, FL 33981
Phone
(941) 548-2300
Fax
(941) 548-2395
NPI assigned
Jun 30, 2005
Last updated
Feb 22, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X ME82638 FL Primary
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X ME 82638 FL

Addresses

Primary practice location

12034 N. Access Rd.
PT Charlotte, FL 33981

Mailing address

12034 N. Access Rd.
PT Charlotte, FL 33981
Phone (941) 548-2300

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
I20240126000887 FL Order and Referring Only - Family PracticePractitioner - Family Practice 7113991928

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 82638FLMDHospice and Palliative Medicine (Family Medicine) Physician
ME82638FLMDHospice and Palliative Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tidewell Home Health Services Past Accepting new patients
Tidewell Home Health Services Past Accepting new patients
Connexis Medical Services LLC PastSince Dec 30, 2009 Accepting new patients

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": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266796800000",
    "number": "1710984281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12034 N. ACCESS RD.",
            "city": "PT CHARLOTTE",
            "state": "FL",
            "postal_code": "33981",
            "telephone_number": "941-548-2300",
            "fax_number": "941-548-2395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12034 N. ACCESS RD.",
            "city": "PT CHARLOTTE",
            "state": "FL",
            "postal_code": "33981",
            "telephone_number": "941-548-2300",
            "fax_number": "941-548-2395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "KAREN",
        "middle_name": "V",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-30",
        "last_updated": "2010-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "FL",
            "license": "ME82638",
            "primary": true
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "FL",
            "license": "ME 82638",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in PT Charlotte, FL

Sources for this page

Verify at the official NPI Registry.