Individual provider Active NPI

Royce Paul Gray, MD

  • Psychiatry Physician
  • Wichita, KS
National Provider Identifier
1134530660
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
04-48286 Issued in KS
Practice address
Ku Wichita Psychiatry & Behavioral Sciences
1001 N Minneapolis
Wichita, KS 67214
Phone
(316) 393-2647
Fax
(855) 476-0305
NPI assigned
May 19, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 04-48286 KS Primary

Addresses

Primary practice location

Ku Wichita Psychiatry & Behavioral Sciences
1001 N Minneapolis
Wichita, KS 67214

Mailing address

Ku Wichita Psychiatry & Behavioral Sciences
1001 N Minneapolis
Wichita, KS 67214
Phone (316) 393-2647

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20240729000945 KS Practitioner - Psychiatry 5395961239 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-48286KSMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Therapy Services, Inc CurrentSince Jul 17, 2021 Accepting new patients
University of Kansas School of Medicine Wichita Medical Practice Assoc Psychiatry CurrentSince Jul 1, 2024 Accepting new patients
Ascension Via Christi Hospitals Wichita Inc. Past Accepting new patients
Ascension Via Christi Hospitals Wichita Inc. Past Accepting new patients
Florida First Psychiatry Specialist LLC PastSince Jan 1, 2022 Accepting new patients

Locations

6425 Pensacola Blvd
#13
Pensacola, FL 32505
Phone (850) 471-0017

1010 N Kansas St
Ste 3054
Wichita, KS 67214
Phone (316) 293-2647

1001 N Minneapolis St
Wichita, KS 67214
Phone (316) 293-1840

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1400457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1134530660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "KU WICHITA PSYCHIATRY & BEHAVIORAL SCIENCES",
            "address_2": "1001 N MINNEAPOLIS",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67214",
            "telephone_number": "316-393-2647",
            "fax_number": "855-476-0305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "KU WICHITA PSYCHIATRY & BEHAVIORAL SCIENCES",
            "address_2": "1001 N MINNEAPOLIS",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67214",
            "telephone_number": "316-393-2647",
            "fax_number": "855-476-0305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "ROYCE",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-19",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KS",
            "license": "04-48286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.