NPIMap

Individual provider Active NPI

Charita Ray

  • Family Medicine Physician
  • Painesville, OH
National Provider Identifier
1851745277
Registry record updated Dec 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34.013507 Issued in OH
Practice address
470 Bacon Rd
Painesville, OH 44077-4769
Phone
(440) 743-3006
NPI assigned
Apr 21, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34.013507 OH Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

470 Bacon Rd
Painesville, OH 44077-4769

Mailing address

7007 Powers Blvd
Parma, OH 44129-5437

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address charitaray@uhps.allscriptsdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20190809002872 OH Practitioner - Family Practice 8820380579 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

11100 Euclid Ave
Cleveland, OH 44106-1716

158 W Main Rd
Conneaut, OH 44030-2039

7500 Auburn Rd
Concord Township, OH 44077-9612

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc Current Accepting new patients
Incare Health Solutions, LLC CurrentSince Jul 1, 2019 Accepting new patients
University Primary Care Practices Inc CurrentSince Nov 11, 2019 Accepting new patients
Incare Health Solutions LLC CurrentSince Jul 1, 2019 Accepting new patients
University Primary Care Practices Inc Family Medicine CurrentSince Nov 11, 2019 Accepting new patients
University Hospitals Medical Group Inc Past Accepting new patients
University Primary Care Practices Past Accepting new patients

Locations

36000 Detroit Rd
Ste 200
Avon, OH 44011
Phone (440) 577-8200

7500 Auburn Rd
Ste 2300
Concord Township, OH 44077
Phone (440) 358-5555

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

470 Bacon Rd
Painesville, OH 44077
Phone (440) 334-9900

7450 State Route 161 E
Plain City, OH 43064
Phone (614) 504-5002

Interoperability endpoints

  • Direct secure messaging: cray37269@ehrdirect.uhhospitals.org

Organizations & group practices 7

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 7

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": "1461196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1851745277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7007 POWERS BLVD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441295437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 BACON RD",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440774769",
            "telephone_number": "440-743-3006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "CHARITA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-21",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.013507",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "charitaray@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "470 Bacon Rd",
            "city": "Painesville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440774769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Painesville, OH

Sources for this page

Verify at the official NPI Registry.