Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PHILLIP RAY PA-C
NPI 1285980730
Physician Assistant - Medical in Fort Worth, TX

Q: What is Phillip Ray's NPI number?

The NPI number for Phillip Ray is 1285980730. It was assigned to this individual provider in the NPPES registry on August 1, 2012.

Q: What is Phillip Ray's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Phillip Ray was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.

Active since August 01, 2012PECOS Enrolled

801 7TH AVE, FORT WORTH, TX 76104(682) 885-4095(682) 885-7499 Get Directions Write a Review

NPPES record last updated: August 13, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 13, 2026, Apr 21, 2021, Apr 6, 2021 (3 updates tracked since 2021).

On this page

About Phillip Ray Pa-c NPPES

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

PHILLIP RAY PA-C (NPI 1285980730) is an individual medical provider in Fort Worth, Texas, licensed in Colorado (PA.0009934) and active in the NPI registry since August 2012. He is enrolled in Medicare PECOS and maintains a secondary practice location in Aurora.

NPPES Registry Identity

NPI1285980730

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NamePHILLIP RAYCredential: PA-C

Location Address801 7TH AVEFort Worth, TX 76104-2733

Mailing AddressPo Box 110429Aurora, CO 80042-0429

Phone(682) 885-4095

Fax(682) 885-7499

Sole ProprietorNo

Enumeration DateAugust 1, 2012

Last NPPES UpdateAugust 13, 20263 updates tracked since enumeration

NPPES CertifiedAugust 13, 2026

✔ NPI 1285980730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in CO · PA.0009934

Also ListedPhysician AssistantTaxonomy 363A00000X · License PA07869 (TX)

801 7TH AVE, Fort Worth, TX 76104

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Secondary Practice Location 1

Location 113123 E 16th AveAurora, CO 80045-7106 · Phone (720) 777-1234

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Imperial Insurance Companies, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Phillip Ray Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

RACHEL MARIE SOUERS M.D.

Pediatrics

801 7TH AVE
FORT WORTH, TX 76104

Tarrant County (682) 885-6726

JAMIE L COLE LCSW

Social Worker (Clinical)

801 7TH AVE, CASE MANAGEMENT
FORT WORTH, TX 76104

Tarrant County (682) 885-3991

ANNE MARCUM KIRK M.D.

Hospitalist

801 7TH AVE
FORT WORTH, TX 76104

Tarrant County (682) 885-1475

KRISTI E TUCKER FNP

Nurse Practitioner (Family)

801 7TH AVE
FORT WORTH, TX 76104

Tarrant County (682) 885-1475

ISAAC WILSON RN

Registered Nurse

801 7TH AVE
FORT WORTH, TX 76104

Tarrant County (682) 885-4000

DR. BRITTON MICHAEL DEVILLIER M.D., M.P.H.

Emergency Medicine (Pediatric Emergency Medicine)

801 7TH AVE
FORT WORTH, TX 76104

Tarrant County (682) 885-4095

DR. PHUONG THI NGUYEN M.D.

Hospitalist

801 7TH AVE
FORT WORTH, TX 76104

Tarrant County (682) 885-1475

DR. MIRIAM ALLISON BLUM DO

Hospitalist

801 7TH AVE
FORT WORTH, TX 76104

Tarrant County (682) 885-1475

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 Phillip Ray's NPI number?

The NPI number for Phillip Ray is 1285980730. It was assigned to this individual provider in the NPPES registry on August 1, 2012.

Where is Phillip Ray located?

Phillip Ray practices at 801 7th Ave, Fort Worth, TX 76104. The listed phone number is (682) 885-4095.

What is Phillip Ray's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Phillip Ray enrolled in Medicare?

Yes. Phillip Ray is registered in the Medicare PECOS enrollment system.

What insurance does Phillip Ray accept?

Health plans from Imperial Insurance Companies, Inc. list Phillip Ray as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Phillip Ray was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.