Individual provider Active NPI

Keren Elizabeth Ray, M.D.

  • Pediatrics Physician
  • Baton Rouge, LA
National Provider Identifier
1871681999
Registry record updated Apr 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
200816 Issued in LA
Practice address
6725 Siegen LN Ste a
Baton Rouge, LA 70809-4589
Phone
(225) 612-3403
Fax
(225) 612-3404
NPI assigned
Oct 11, 2006
Last updated
Apr 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 200816 LA Primary

Addresses

Primary practice location

6725 Siegen LN Ste a
Baton Rouge, LA 70809-4589

Mailing address

6725 Siegen LN Ste a
Baton Rouge, LA 70809-4589
Phone (225) 612-3403

Other identifiers 1

IdentifierTypeStateIssuer
1582514MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20070203000010 LA Practitioner - Pediatric Medicine 7517969587 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200816LAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Urgent Care, LLC Pediatrics CurrentSince Apr 1, 2022 Accepting new patients
Our Lady of the Lake Hospital Inc Pediatrics Past Accepting new patients
Baton Rouge General Physicians Medical Group, LLC Past Accepting new patients
Red Stick Emergency Group LLC Past Accepting new patients
Urgent Care for Children, PLLC Pediatrics PastSince Oct 11, 2020 Accepting new patients

Locations

500 Cahaba Park Cir
Ste 100
Birmingham, AL 35242
Phone (205) 848-2273

6725 Siegen Ln
Ste A
Baton Rouge, LA 70809
Phone (225) 612-3403

3663 Highway 190
Ste 10
Mandeville, LA 70471
Phone (985) 272-1396

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650067200000",
    "number": "1871681999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6725 SIEGEN LN STE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708094589",
            "telephone_number": "225-612-3403",
            "fax_number": "225-612-3404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6725 SIEGEN LN STE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708094589",
            "telephone_number": "225-612-3403",
            "fax_number": "225-612-3404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "KEREN",
        "middle_name": "ELIZABETH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2022-04-16",
        "certification_date": "2022-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "200816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1582514",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.