NPIMap

Individual provider Active NPI

Teresa Kay Gray, M.D.

  • Internal Medicine Physician
  • Elk River, MN
National Provider Identifier
1043273204
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
47660 Issued in MN
Practice address
530 3Rd St NW
Elk River, MN 55330-1445
Phone
(763) 587-4800
Fax
(763) 587-4845
NPI assigned
Apr 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 47660 MN Primary

Addresses

Primary practice location

530 3Rd St NW
Elk River, MN 55330-1445

Mailing address

18363 95TH PL N
Maple Grove, MN 55311-1293
Phone (763) 732-9322

Other practice location 1

18363 95th Pl N
Maple Grove, MN 55311-1293
Phone (763) 732-9322

Other identifiers 7

IdentifierTypeStateIssuer
749458100MedicaidMN
2362915OtherMNAMERICA'S PPO
1044102OtherMNPREFERRED ONE
334G6GROtherMNBCBS OF MN
HP52698OtherMNHEALTHPARTNERS
0407627OtherMNMEDICA
132980OtherMNUCARE MN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050912001182 MN Practitioner - Internal Medicine 7315970225 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Iowa, RJ & L Carver College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Group Health IncGroup PAC ID 1759293954, 1,627 clinicians

Practice addresses (Care Compare)

530 3Rd St NW
Elk River, MN 55330-1445
Phone (763) 712-6000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
47660MNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Group Health, Inc. Current Accepting new patients
Fairview Health Services Current Accepting new patients
Fairview Clinics CurrentSince Oct 2, 2020 Accepting new patients
Fairview Clinics Current Accepting new patients
Fairview Health Services CurrentSince Jan 1, 2008 Accepting new patients
Group Health, Inc. CurrentSince Jan 6, 2025 Accepting new patients
Fairview Health Services Internal Medicine CurrentSince Jan 1, 2008 Accepting new patients
Fairview Clinics CurrentSince Oct 2, 2020 Accepting new patients
Group Health, Inc. CurrentSince Jan 6, 2025 Accepting new patients
Columbia Park Medical Group, PA Internal Medicine Past Accepting new patients

Locations

13819 Hanson Blvd NW
Andover, MN 55304
Phone (763) 572-5700

14101 Fairview Dr
Ste 300
Burnsville, MN 55337
Phone (612) 273-5400

1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860

530 3rd St NW
Elk River, MN 55330
Phone (763) 587-4800

10000 Zane Ave N
Minneapolis, MN 55443
Phone (763) 528-6999

6401 University Ave NE
Minneapolis, MN 55432
Phone (763) 572-5706

550 Osborne Rd NE
Minneapolis, MN 55432
Phone (763) 236-3800

8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600

6341 University Ave NE
Minneapolis, MN 55432
Phone (763) 427-9980

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

4000 Central Ave NE
Saint Anthony, MN 55421
Phone (763) 572-5700

Organizations & group practices 11

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

Hospital & facility affiliations 9

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": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1043273204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18363 95TH PL N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553111293",
            "telephone_number": "763-732-9322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 3RD ST NW",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553301445",
            "telephone_number": "763-587-4800",
            "fax_number": "763-587-4845"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18363 95th Pl N",
            "address_purpose": "LOCATION",
            "city": "Maple Grove",
            "state": "MN",
            "postal_code": "553111293",
            "country_code": "US",
            "telephone_number": "763-732-9322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY",
        "first_name": "TERESA",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-10",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "47660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "749458100",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICA'S PPO",
            "identifier": "2362915",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "1044102",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MN",
            "identifier": "334G6GR",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "HP52698",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "0407627",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE MN",
            "identifier": "132980",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk River, MN

Sources for this page

Verify at the official NPI Registry.