KYRA RAY MD
NPI 1154948925
Family Medicine in Vallejo, CA

Active since June 28, 2020PECOS EnrolledAccepts Medicare Assignment
415 GEORGIA ST, VALLEJO, CA 94590(707) 556-8100 Get Directions Write a Review

NPPES record last updated: October 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 12, 2023, Jun 28, 2020 (2 updates tracked since 2020).

About Kyra Ray Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KYRA RAY MD (NPI 1154948925) is an individual family medicine provider in Vallejo, California, licensed in California (182952) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Vallejo, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1154948925
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKYRA RAYCredential: MD
Location Address415 GEORGIA STVallejo, CA 94590-6004
Mailing Address415 Georgia StVallejo, CA 94590-6004
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 28, 2020
Last NPPES UpdateOctober 12, 20232 updates tracked since enumeration
NPPES CertifiedOctober 12, 2023
NPI 1154948925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · 182952
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
415 GEORGIA ST, Vallejo, CA 94590

Secondary Practice Location 1

Location 1210 Hospital DrVallejo, CA 94589-2517 · Phone (707) 645-7316

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kyra Ray Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901200666
PECOS Enrollment IDI20231026003404
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
20 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94590 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.85 typical visit price
range $65.02 – $191.95
Typical copayment $24.71 (range $16.25 – $47.98)
Most-billed visit code 99203
Established Patient
$113.05 typical visit price
range $21.86 – $157.69
Typical copayment $28.26 (range $5.46 – $39.42)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$215.40 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
415 GEORGIA ST
VALLEJO, CA 94590
Dentist (General Practice)
415 GEORGIA ST
VALLEJO, CA 94590
Marriage & Family Therapist
415 GEORGIA ST
VALLEJO, CA 94590
Internal Medicine (Diabetology)
415 GEORGIA ST
VALLEJO, CA 94590
Family Medicine
415 GEORGIA ST
VALLEJO, CA 94590
Family Medicine
415 GEORGIA ST
VALLEJO, CA 94590
Dentist (General Practice)
415 GEORGIA ST
VALLEJO, CA 94590
Dentist (General Practice)
415 GEORGIA ST
VALLEJO, CA 94590

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kyra Ray's NPI number?

The NPI number for Kyra Ray is 1154948925. It was assigned to this individual provider in the NPPES registry on June 28, 2020.

Where is Kyra Ray located?

Kyra Ray practices at 415 Georgia St, Vallejo, CA 94590. The listed phone number is (707) 556-8100.

What is Kyra Ray's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kyra Ray enrolled in Medicare?

Yes. Kyra Ray is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kyra Ray was last updated on October 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.