KYLE DAVID RAY PA-C
NPI 1902463391
Physician Assistant in Wright Pat, OH

Active since May 21, 2019PECOS Enrolled
4881 SUGAR MAPLE DR BLDG 830, WRIGHT PAT, OH 45433(708) 261-8215 Get Directions Write a Review

NPPES record last updated: September 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 12, 2024, May 16, 2024, Aug 4, 2020 and 2 more (5 updates tracked since 2019).

About Kyle David Ray Pa-c NPPES

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

KYLE DAVID RAY PA-C (NPI 1902463391) is an individual physician assistant in Wright Pat, Ohio and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in Travis Afb.

NPPES Registry Identity

NPI1902463391
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameKYLE DAVID RAYCredential: PA-C
Location Address4881 SUGAR MAPLE DR BLDG 830Wright Pat, OH 45433-5529
Mailing Address101 Bodin CirTravis Afb, CA 94535-1809
Sole ProprietorYes
Enumeration DateMay 21, 2019
Last NPPES UpdateSeptember 12, 20245 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2024
NPI 1902463391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4881 SUGAR MAPLE DR BLDG 830, Wright Pat, OH 45433

Secondary Practice Location 1

Location 1101 Bodin CirTravis AFB, CA 94535-1809 · Phone (707) 423-3964 · Fax (707) 423-9129

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kyle David 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45433 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
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 17

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

General Practice
4881 SUGAR MAPLE DR BLDG 830
WRIGHT PATTERSON AFB, OH 45433
Emergency Medicine
4881 SUGAR MAPLE DR BLDG 830
WRIGHT PATTERSON AFB, OH 45433
Physician Assistant
4881 SUGAR MAPLE DR BLDG 830
WRIGHT PATTERSON AFB, OH 45433
Dietitian, Registered
4881 SUGAR MAPLE DR BLDG 830
WRIGHT PATTERSON AFB, OH 45433
Social Worker
4881 SUGAR MAPLE DR BLDG 830
WRIGHT PATTERSON AFB, OH 45433
Radiology (Diagnostic Radiology)
4881 SUGAR MAPLE DR BLDG 830
WRIGHT PATTERSON AFB, OH 45433
Dietitian, Registered
4881 SUGAR MAPLE DR BLDG 830
WRIGHT PATTERSON AFB, OH 45433
Pediatrics
4881 SUGAR MAPLE DR BLDG 830
WPAFB, OH 45433

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 Kyle Ray's NPI number?

The NPI number for Kyle Ray is 1902463391. It was assigned to this individual provider in the NPPES registry on May 21, 2019.

Where is Kyle Ray located?

Kyle Ray practices at 4881 Sugar Maple Dr Bldg 830, Wright Pat, OH 45433. The listed phone number is (708) 261-8215.

What is Kyle Ray's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kyle Ray enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kyle Ray was last updated on September 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.