KELLY BRAY – Emergency Medicine Physician, NPI 1043525785

KELLY BRAY is a healthcare provider. based in Chicago, Illinois. specializing in Emergency Medicine Physician. They hold a License No. 036.127747 (IL). The NPI Number for KELLY BRAY is 1043525785

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
KELLY BRAY
NPI
1043525785
Phone
(773) 209-9925
Address
2035 S INDIANA AVE
Enumeration Date
18 August 2010
Last Update Date
9 December 2011

Doctor Profile

Medical School Name
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
3093471151
Graduation Year
2008 (18 years ago)
PAC ID
5991951477
Group Practice PAC ID
6204192016
Professional Enrollment ID
I20120816000406
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:15State licenses:1Digital endpointsOther names

Provider Addresses for KELLY BRAY

  • 2035 S INDIANA AVE

    312

    CHICAGO, IL 606164925

    Phone: (773) 209-9925

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-12-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20191206002513IEmergency MedicineINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making3937$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only2926$0
99284Emergency department visit with moderate level of medical decision making2525$0
99291Critical care, first 30-74 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 60616)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6204192016View full group profile

Reviews

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Frequently asked questions

What identifier follows KELLY BRAY across health systems?
The NPI 1043525785 uniquely identifies KELLY BRAY in U.S. healthcare data.
Does the public listing show KELLY BRAY as active?
KELLY BRAY's NPI record reflects an active status in NPPES.
What services align with KELLY BRAY's listing?
KELLY BRAY's public classification highlights Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Is KELLY BRAY tied to Chicago, Illinois?
If you are local to Chicago, Illinois, KELLY BRAY may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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