TABATHA ALRAYES DO
NPI 1336673219
Pediatrics in Louisville, KY

Q: What is Tabatha Alrayes's NPI number?

The NPI number for Tabatha Alrayes is 1336673219. It was assigned to this individual provider in the NPPES registry on April 17, 2017. The provider is also known as Tabatha Wydryck Do.

Q: What is Tabatha Alrayes's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Tabatha Alrayes was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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 April 17, 2017PECOS Enrolled

231 E CHESTNUT ST, LOUISVILLE, KY 40202(502) 629-6000(502) 852-8556 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 3, 2020, Apr 17, 2017 (2 updates tracked since 2017).

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About Tabatha Alrayes Do NPPES

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

TABATHA ALRAYES DO (NPI 1336673219) is an individual pediatrics provider in Louisville, Kentucky, licensed in Kentucky (06040) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Detroit, and is a graduate of Michigan State University College Of Osteopathic Medicine (2017).

NPPES Registry Identity

NPI1336673219

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameTABATHA ALRAYESCredential: DO

Location Address231 E CHESTNUT STLouisville, KY 40202-1821

Mailing AddressPo Box 776879Chicago, IL 60677-6879 · (502) 588-9490 · Fax (502) 272-5339

Phone(502) 629-6000

Fax(502) 852-8556

Sole ProprietorNo

Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2017

Enumeration DateApril 17, 2017

Last NPPES UpdateOctober 22, 20252 updates tracked since enumeration

NPPES CertifiedOctober 22, 2025

✔ NPI 1336673219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in KY · 06040✔ Licensed in MI · 5101025608

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

231 E CHESTNUT ST, Louisville, KY 40202

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Other Names 1

Former Name (1)Tabatha Wydryck Do

Secondary Practice Location 1

Location 1Children's Hospital of MI, 3901 BeaubienDetroit, MI 48201-2119 · Phone (313) 745-5260 · Fax (313) 993-7166

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tabatha Alrayes Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID446673123

PECOS Enrollment IDI20251203000057

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.

Medicare Billing Reassignment

Medicare enrollment records show Tabatha Alrayes reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Pediatricians

317 mi

Nurse Practitioner

3901 BEAUBIEN
Detroit, MI 48201

Reassigned Medicare billing, Michigan enrollment
360 clinicians in this Medicare group

NPI 1033143904 (313) 745-5214

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40202 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

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.

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