Active NPI
Karen V Ray, M.D
- Hospice and Palliative Medicine (Family Medicine) Physician
- PT Charlotte, FL
National Provider Identifier
1710984281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Family Medicine) Physician
- License
- ME82638
- 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, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240126000887 | FL | Order and Referring Only - Family Practice | 7113991928 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 82638 | FL | MD | Hospice and Palliative Medicine (Family Medicine) Physician |
| ME82638 | FL | MD | Hospice and Palliative Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tidewell Home Health Services | Past | Accepting new patients | |
| Tidewell Home Health Services | Past | Accepting new patients | |
| Connexis Medical Services LLC | Past | 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.
-
- Family Medicine Physician
- Sarasota, FL
- NPI 1699002097
-
- Home Health Agency
- Bradenton, FL
- NPI 1578894788
-
- Home Health Agency
- Sarasota, FL
- NPI 1669794715
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
- Mua of Charlotte County LLC
- Navix Imaging Inc (SW Florida Regional Img Center - AMC)
- Navix Imaging Inc (SW Florida Regional Imaging Ctr MIC)
- Nurse on Call, LLC (HCA Florida Healthcare at Home)
- Stephen Petrofsky, D.P.M.
- Safe Spaces Corp
- Sandhill Medical Supply Inc.
- Arvind Sharma, MD
- Soca Imaging Inc (SW Florida Regional Imaging Center)
- Soca Imaging Inc (SW Florida Regional Imaging Center-AMC)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.