NPIMap

Individual provider Active NPI

David Francis Ray, DPM

  • Foot & Ankle Surgery Podiatrist
  • Schererville, IN
National Provider Identifier
1932119989
Registry record updated Mar 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
07000703 Issued in IN
Practice address
966 W US Highway 30
Schererville, IN 46375-1551
Phone
(219) 322-8894
Fax
(219) 322-0056
NPI assigned
Aug 9, 2006
Last updated
Mar 24, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 07000703 IN Primary

Addresses

Primary practice location

966 W US Highway 30
Schererville, IN 46375-1551

Mailing address

694 Quinlan CT
Crown Point, IN 46307-9822
Phone (219) 663-2549

Other identifiers 5

IdentifierTypeStateIssuer
61100087OtherILBLUE CROSS/BLUE SHIELD
0241330001OtherINMEDICARE DMERC
480022814OtherINMEDICARE RAILROAD
000000088954OtherINATHEM
100201670AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20090304000386 IN Practitioner - Podiatry 2769381722 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progressive Family Foot Care PCGroup PAC ID 8820997919, 3 clinicians

Practice addresses (Care Compare)

966 W US Hwy 30
Schererville, IN 46375-1551
Phone (219) 322-8894

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.06 of 100Reported as individual
Quality
86.13
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue119
Removal of skin lesions1-10
Removal of nail tissue281
Removal or shaving of skin growth65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07000703INMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Illiana Surgery and Medical Center Past Accepting new patients
Broadwest Specialty Surgical Center, LLC PastSince May 31, 2007 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dray63974@direct.franciscanalliance.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237852800000",
    "number": "1932119989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "694 QUINLAN CT",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463079822",
            "telephone_number": "219-663-2549",
            "fax_number": "219-322-0056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "966 W US HIGHWAY 30",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463751551",
            "telephone_number": "219-322-8894",
            "fax_number": "219-322-0056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "DAVID",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2009-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IN",
            "license": "07000703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "61100087",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DMERC",
            "identifier": "0241330001",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "480022814",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATHEM",
            "identifier": "000000088954",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100201670A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Schererville, IN

Sources for this page

Verify at the official NPI Registry.