DR. ROBERT E WRAY (DO) – Geriatric Medicine (Family Medicine) Physician, NPI 1487648945

DR. ROBERT E WRAY (DO) is a healthcare provider. based in Kinsley, Kansas. specializing in Geriatric Medicine (Family Medicine) Physician. They hold the professional credentials DO. They hold a License No. 05-22793 (KS). The NPI Number for DR. ROBERT E WRAY (DO) is 1487648945

Main info

Male
Sole Proprietor
46 Years Of Experience
Accepts Medicare Assignment
Name
DR. ROBERT E WRAY (DO)
NPI
1487648945
Phone
(620) 659-2890
Address
711 MARSH AVE
Enumeration Date
9 September 2005
Last Update Date
22 September 2022

Doctor Profile

Medical School Name
DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Secondary Phone
6206593621236
Graduation Year
1980 (46 years ago)
PAC ID
2264497205
Group Practice PAC ID
2264343383
Professional Enrollment ID
I20041201000456
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. ROBERT E WRAY (DO)

  • 711, Marsh Avenue, Kinsley, Edwards County, Kansas, 67547, United States

    KINSLEY, KS 675471129

    Phone: (620) 659-2890

    Fax: (620) 659-2897

    Type: Location

  • 711 Marsh Ave

    Kinsley, KS 675471129

    Phone: (620) 659-2890

    Fax: (620) 659-2897

    Type: Location

  • 810 W BRAMLEY ST

    JETMORE, KS 678549320

    Phone: (620) 357-8354

    Fax: (620) 357-6460

    Type: Location

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: 2004-12-01

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
I20041201000456IFamily PracticeKSTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 67547)

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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: 2264343383View full group profile
NameSpecialtyState
General PracticeKS
Physician AssistantKS
Family PracticeSD
Nurse PractitionerAZ
-KS
Nurse PractitionerKS

Reviews

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Frequently asked questions

What federal number belongs to DR. ROBERT E WRAY (DO)?
The federal identifier for DR. ROBERT E WRAY (DO) is NPI 1487648945.
Is DR. ROBERT E WRAY (DO)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does DR. ROBERT E WRAY (DO) work in?
You can think of DR. ROBERT E WRAY (DO) as practicing within Geriatric Medicine (Family Medicine) Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. ROBERT E WRAY (DO)?
We surface Kinsley, Kansas for DR. ROBERT E WRAY (DO) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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