Active NPI
Steven A Ray, MD
- Internal Medicine Physician
- Rock Island, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036-072047
- Practice address
- 2560 24TH St
Ste 202
Rock Island, IL 61201-5390 - Phone
- (309) 794-0590
- Fax
- (309) 779-3084
- NPI assigned
- Jun 23, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036-072047 | IL | Primary |
Addresses
Primary practice location
2560 24TH St
Ste 202
Rock Island, IL 61201-5390
Mailing address
865 Lincoln Rd
Ste L10
Bettendorf, IA 52722-4159
Phone (563) 355-9191
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020379 | Other | HEALTH ALLIANCE | |
| 4796890015 | Other | DMERC | |
| 20076 | Other | IOWA HEALTH SOLUTIONS | |
| 97781 | Other | WELLMARK BC/BS | |
| IA0151 | Other | JOHN DEERE HEALTH PLAN | |
| 036072047 | Medicaid | IL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Steven.ray@direct.genesishealth.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-072047 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesis Health System | Internal Medicine | Current | Accepting new patients |
| Genesis Health System | Current | Accepting new patients |
Locations
865 Lincoln Rd
Ste L10
Bettendorf, IA 52722
Phone (563) 355-9191
1351 W Central Park Ave
Ste 340
Davenport, IA 52804
Phone (563) 421-1287
202 Picard St
Alpha, IL 61413
Phone (309) 629-4601
306 46th Ave
East Moline, IL 61244
Phone (309) 796-2329
3900 28th Avenue Dr
Ste 125
Moline, IL 61265
Phone (309) 281-6000
2560 24th St
Ste 202
Rock Island, IL 61201
Phone (309) 786-3395
Interoperability endpoints
- steven.ray@direct.genesishealth.com
Organizations & group practices 2
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.
-
- Critical Access Hospital
- De Witt, IA
- NPI 1649368523
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618963200000",
"number": "1780680736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "865 LINCOLN RD",
"address_2": "STE L10",
"city": "BETTENDORF",
"state": "IA",
"postal_code": "527224159",
"telephone_number": "563-355-9191",
"fax_number": "563-355-3419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2560 24TH ST",
"address_2": "STE 202",
"city": "ROCK ISLAND",
"state": "IL",
"postal_code": "612015390",
"telephone_number": "309-794-0590",
"fax_number": "309-779-3084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAY",
"first_name": "STEVEN",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-23",
"last_updated": "2021-04-21",
"certification_date": "2021-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036-072047",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE",
"identifier": "020379",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC",
"identifier": "4796890015",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IOWA HEALTH SOLUTIONS",
"identifier": "20076",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK BC/BS",
"identifier": "97781",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE HEALTH PLAN",
"identifier": "IA0151",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036072047",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Steven.ray@direct.genesishealth.com",
"affiliation": "N",
"endpointDescription": "Genesis Health System Direct Email Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "3900 28th Avenue Dr Ste 125",
"city": "Moline",
"state": "IL",
"country_code": "US",
"postal_code": "612655542",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Rock Island, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; 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.