Individual provider Active NPI

Indraneil Ray, M.D., MPH

  • Cardiovascular Disease Physician
  • Norwalk, CT
National Provider Identifier
1760641013
Registry record updated Aug 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
63709 Issued in CT
Practice address
34 Maple St FL 3
Norwalk, CT 06850-3815
Phone
(203) 855-3680
NPI assigned
Jun 3, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 48263 AZ
Cardiovascular Disease Physician 207RC0000X 63709 CT Primary
Cardiovascular Disease Physician 207RC0000X A106487 CA

Addresses

Primary practice location

34 Maple St FL 3
Norwalk, CT 06850-3815

Mailing address

34 Maple St FL 3
Norwalk, CT 06850-3815
Phone (203) 855-3680

Other practice location 1

43 Maple Street, Third Floor
Norwalk, CT 06850
Phone (203) 855-3680

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
I20131203002183 AZ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3476694209 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Saint Louis University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Honorhealth AmbulatoryGroup PAC ID 5991603110, 630 clinicians

Practice addresses (Care Compare)

33423 N 32ND Ave
Suite 2200
Phoenix, AZ 85085-8874
Phone (602) 861-1168

Hospital & facility affiliations

  • Honorhealth Deer Valley Medical Center Hospital, Phoenix, AZ, CCN 030092
  • Honorhealth Sonoran Crossing Medical Center Hospital, Phoenix, AZ, CCN 030146
  • Honor Health John C. Lincoln Medical Center Hospital, Phoenix, AZ, CCN 030014
  • Honorhealth Scottsdale Shea Medical Center Hospital, Scottsdale, AZ, CCN 030087
  • Honorhealth Scottsdale Osborn Medical Center Hospital, Scottsdale, AZ, CCN 030038

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Ambulatory CurrentSince Nov 9, 2020 Accepting new patients
Honorhealth Ambulatory Cardiovascular Disease CurrentSince Nov 9, 2020 Accepting new patients
Honorhealth Ambulatory Current Accepting new patients

Locations

5422 W Thunderbird Rd
Ste 8
Glendale, AZ 85306
Phone (602) 978-0698

10230 W Happy Valley Pkwy
Ste 200
Peoria, AZ 85383
Phone (480) 882-7465

33300 N 32nd Ave
Ste 101
Phoenix, AZ 85085
Phone (602) 443-4170

2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462

19636 N 27th Ave
Ste 401
Phoenix, AZ 85027
Phone (602) 298-8888

33423 N 32nd Ave
Ste 2200
Phoenix, AZ 85085
Phone (480) 398-1550

9250 N 3rd St
Ste 2000
Phoenix, AZ 85020
Phone (602) 246-9080

33300 N 32nd Ave
Ste 205
Phoenix, AZ 85085
Phone (602) 962-0071

3501 N Scottsdale Rd
Ste 348
Scottsdale, AZ 85251
Phone (480) 874-0771

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

10210 N 92nd St
Ste 301
Scottsdale, AZ 85258
Phone (480) 391-0555

Interoperability endpoints

  • Direct secure messaging: iray32137@direct.honorhealth.com
  • Direct secure messaging: indraneilray@cvc.allscriptsdirect.net

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565136000000",
    "number": "1760641013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 MAPLE ST FL 3",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068503815",
            "telephone_number": "203-855-3680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 MAPLE ST FL 3",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068503815",
            "telephone_number": "203-855-3680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43 Maple Street, Third Floor",
            "address_purpose": "LOCATION",
            "city": "Norwalk",
            "state": "CT",
            "postal_code": "06850",
            "country_code": "US",
            "telephone_number": "203-855-3680",
            "fax_number": "203-899-5251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAY",
        "first_name": "INDRANEIL",
        "name_prefix": "Dr.",
        "credential": "M.D., MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-03",
        "last_updated": "2019-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "48263",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CT",
            "license": "63709",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A106487",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

Verify at the official NPI Registry.