Wray Dermatology
NPI 1457110298 · Dermatology Physician · Blackfoot, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Wray Dermatology is a Dermatology Physician organization in Blackfoot, ID (NPI 1457110298).
Provider details
- NPI number
- 1457110298
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Adam Wray, Owner(986) 275-0003
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 500 S 11th Ave Ste 301Pocatello, ID 83201-4879Phone: (986) 228-8765Fax: (986) 275-0005
Registry dates
- Enumerated
- 2024-03-14
- Last updated
- 2026-05-06
- Certified
- 2026-05-06
Frequently asked questions
- What is Wray Dermatology's NPI number?
- Wray Dermatology's National Provider Identifier (NPI) is 1457110298, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wray Dermatology?
- Wray Dermatology is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Wray Dermatology located?
- Wray Dermatology's practice location on file with NPPES is 1355 Parkway Dr Ste a, Blackfoot, ID 83221-1656.
- What is Wray Dermatology's phone number?
- The practice phone number listed in the NPPES registry for Wray Dermatology is (986) 275-0003.
- Does Wray Dermatology accept Medicare?
- Wray Dermatology is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Wray Dermatology?
- The authorized official listed on Wray Dermatology's NPPES record is Adam Wray, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wray Dermatology's NPI active?
- Yes — Wray Dermatology's NPI (1457110298) is active in the NPPES registry as of the last update on 2026-05-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.