MARTINA RAY
NPI 1720971658
Dietitian, Registered in Saint Louis, MO
About Martina Ray NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARTINA RAY (NPI 1720971658) is an individual dietitian, registered in Saint Louis, Missouri, licensed in Missouri (2012036540) and active in the NPI registry since May 2025. The provider is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Martina Ray is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Martina Ray reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Saint Louis, MO 63141
- Reassigned Medicare billing, Missouri enrollment
- 435 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
SAINT LOUIS, MO 63141
SAINT LOUIS, MO 63141
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 Martina Ray's NPI number?
The NPI number for Martina Ray is 1720971658. It was assigned to this individual provider in the NPPES registry on May 30, 2025.
Where is Martina Ray located?
Martina Ray practices at 615 S New Ballas Rd, Saint Louis, MO 63141. The listed phone number is (314) 251-6382.
What is Martina Ray's specialty?
The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.
Is Martina Ray enrolled in Medicare?
Yes. Martina Ray is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Martina Ray's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Martina Ray reassigns Medicare benefits to Mercy Hospitals East Communities (Saint Louis, MO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Martina Ray's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Martina Ray was last updated on May 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Martina Ray · NPI 1720971658
Dietitian, Registered provider in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since May 30, 2025.
## Identity
- **NPI:** 1720971658 (Entity type: Individual)
- **Enumerated:** May 30, 2025
- **Primary specialty:** Dietitian, Registered · taxonomy 133V00000X
- **State license:** 2012036540 (Missouri)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 615 S NEW BALLAS RD, Saint Louis, MO 63141-8221
- **Phone:** (314) 251-6382
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Mercy Hospitals East Communities (NPI 1851431738, Saint Louis, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** May 30, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1720971658) · Data from the CMS NPPES public registry.