Jerry L Gray, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD014719E Issued in PA

Practice address

1599 Somerset Ave
Ste #1
Windber, PA 15963

Phone

(814) 467-5600

Fax

(814) 467-5605

NPI assigned

Aug 19, 2005

Last updated

Aug 12, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Internal Medicine

Education

University of Pittsburgh School of Medicine, 1972

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gray Medical AssociatesGroup PAC ID 4880691328, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Chan Soon- Shiong Medical Center at Windber Hospital, Windber, PA, CCN 390112

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jlgray@491c40b0.micromddirect.com

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.

• Gray Medical Associates

  • Clinic/Center
  • Windber, PA
  • NPI 1831296664
  Medicare reassignment Care Compare group NPD
• Windber Hospital, Inc.

  dba Windber Medical Center

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

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

• Windber Hospital, Inc.

  dba Windber Medical Center

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  Care Compare affiliation

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218499200000",
    "number": "1104818756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1599 SOMERSET AVE",
            "address_2": "STE #1",
            "city": "WINDBER",
            "state": "PA",
            "postal_code": "15963",
            "telephone_number": "814-467-5600",
            "fax_number": "814-467-5605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1599 SOMERSET AVE",
            "address_2": "STE #1",
            "city": "WINDBER",
            "state": "PA",
            "postal_code": "15963",
            "telephone_number": "814-467-5600",
            "fax_number": "814-467-5605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "JERRY",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2008-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD014719E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianne Joyce France-Layton, MS, CCC-SLP
• Libang Fu, MD
• Reid Gentile, D.O.
• Jeffrey A Gracie
• Gray Medical Associates
• Patrick M. Gray, MD
• Tom Hanik
• Cory Hartland, PT, DPT
• Jamie Hicks, CRNP
• Michelle Hicks, OTR/L

• Internal Medicine Physician in Windber, PA
• Providers in Windber, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.