Individual provider Active NPI

Gary Myles McCray, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • La Grange Park, IL
National Provider Identifier
1023025541
Registry record updated Oct 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
036064789 Issued in IL
Practice address
1530 Alima Ter
La Grange Park, IL 60526-1331
Phone
(708) 783-5572
Fax
(708) 482-4093
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 036064789 IL Primary

Addresses

Primary practice location

1530 Alima Ter
La Grange Park, IL 60526-1331

Mailing address

1530 Alima Ter
La Grange Park, IL 60526-1331
Phone (708) 783-5572

Other identifiers 1

IdentifierTypeStateIssuer
036064789MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050511000730 IL Practitioner - Geriatric MedicinePractitioner - Internal Medicine 7113967282 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Internal Medicine
Education
Loyola University of Chicago, Stritch School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3450 Saratoga Ave
Downers Grove, IL 60515-1141
Phone (630) 969-2900

480 N Wolf Rd
Northlake, IL 60164-1650
Phone (708) 562-0040

Hospital & facility affiliations

  • Crystal Home Health Care, LLC Home health agency, Des Plaines, IL, CCN 148073
  • Elmhurst Memorial Hospital Hospital, Elmhurst, IL, CCN 140200
  • Citadel at Casa Scalabrini Nursing home, Northlake, IL, CCN 145956

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036064789ILMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gary M McCray MD SC Geriatric Medicine Current Accepting new patients
Loyola University Medical Center Current Accepting new patients
Gary M McCray MD SC Geriatric Medicine CurrentSince Sep 1, 1996 Accepting new patients

Locations

3450 Saratoga Ave
Downers Grove, IL 60515
Phone (630) 696-2900

2010 N Harlem Ave
Elmwood Park, IL 60707
Phone (708) 452-4443

Interoperability endpoints

  • Direct secure messaging: gmccray51069@direct.luhs.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223251200000",
    "number": "1023025541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 ALIMA TER",
            "city": "LA GRANGE PARK",
            "state": "IL",
            "postal_code": "605261331",
            "telephone_number": "708-783-5572",
            "fax_number": "708-482-4093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 ALIMA TER",
            "city": "LA GRANGE PARK",
            "state": "IL",
            "postal_code": "605261331",
            "telephone_number": "708-783-5572",
            "fax_number": "708-482-4093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRAY",
        "first_name": "GARY",
        "middle_name": "MYLES",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2008-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "IL",
            "license": "036064789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036064789",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grange Park, IL

Sources for this page

Verify at the official NPI Registry.