NPIMap

Individual provider Active NPI

Scott L Ray, DO

  • Family Medicine Physician
  • Clearwater, FL
National Provider Identifier
1730187782
Registry record updated Mar 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS4600 Issued in FL
Practice address
2350 Sunset Point Rd
Suite C
Clearwater, FL 33765-1443
Phone
(727) 797-3155
Fax
(727) 797-4301
NPI assigned
Jul 13, 2005
Last updated
Mar 27, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X OSOOO4600 FL
Family Medicine Physician 207Q00000X OS4600 FL Primary

Addresses

Primary practice location

2350 Sunset Point Rd
Suite C
Clearwater, FL 33765-1443

Mailing address

2995 Drew St FL 2
Clearwater, FL 33759-3012
Phone (727) 532-1355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070212000325 FL Practitioner - Family PracticePractitioner - Geriatric Medicine 5991743577 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Midwestern University, Chicago College of Osteopathic Med, 1981
Medicare assignment
May accept Medicare assignment
Group practices
Baycare Medical Group, Inc.Group PAC ID 6406753623, 1,539 clinicians
St Mark Village IncGroup PAC ID 7618035304, shared by 2 NPIs, 16 clinicians

Practice addresses (Care Compare)

2350 Sunset Point Rd
Suite C
Clearwater, FL 33765-1443
Phone (727) 797-3155

2461 Enterprise Rd
Suite C
Clearwater, FL 33763-1726
Phone (727) 725-5060

2655 Nebraska Ave
Palm Harbor, FL 34684-2630

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS4600FLMDFamily Medicine Physician
OSOOO4600FLMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Medical Group, Inc. Family Medicine CurrentSince Jun 1, 2019 Accepting new patients
Baycare Medical Group, Inc. Family Medicine CurrentSince Jun 1, 2019 Accepting new patients
Pcma Palliative Division LLC Family Medicine Past Accepting new patients

Locations

2350 Sunset Point Rd
Ste C
Clearwater, FL 33765
Phone (727) 797-3155

2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060

2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 281-9390

34041 US Highway 19 N
Ste C
Palm Harbor, FL 34684
Phone (727) 281-9649

Interoperability endpoints

  • Direct secure messaging: scott.ray@direct.mybaycare.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Palm Garden of ClearwaterClearwater, FL, CCN 105581 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 21, 2014
Jan 21, 2014

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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.

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1730187782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2995 DREW ST FL 2",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337593012",
            "telephone_number": "727-532-1355",
            "fax_number": "813-635-2613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 SUNSET POINT RD",
            "address_2": "SUITE C",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337651443",
            "telephone_number": "727-797-3155",
            "fax_number": "727-797-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "SCOTT",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "OSOOO4600",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS4600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.