Individual provider Active NPI

Benjamin Gray

  • Student in an Organized Health Care Education/Training Program
  • Indianapolis, IN
National Provider Identifier
1144640251
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
1633 N Capitol Ave
Methodist Medical Tower, Ste 640
Indianapolis, IN 46202-1261
Phone
(317) 962-8881
Fax
(317) 962-0838
NPI assigned
Apr 16, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

1633 N Capitol Ave
Methodist Medical Tower, Ste 640
Indianapolis, IN 46202-1261

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bgray6@direct.iuhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20200519001852 IN Practitioner - Diagnostic Radiology 1052535671 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Indiana University Radiology Associates IncGroup PAC ID 7315922267, 213 clinicians
Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians

Practice addresses (Care Compare)

10212 Lantern Rd
Fishers, IN 46037-9705
Phone (317) 841-5656

1111 Ronald Reagan Pkwy
Avon, IN 46123-7085
Phone (317) 963-0166

11725 N Illinois St
Suite 275
Carmel, IN 46032-4656
Phone (317) 817-1114

1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258

2209 John R Wooden Dr
Morgan Hospital
Martinsville, IN 46151-1840
Phone (765) 349-6513

2401 W University Ave
Muncie, IN 47303-3428
Phone (765) 747-4274

2598 W White River Blvd
The Imaging Center
Muncie, IN 47303-5251
Phone (765) 282-7595

2651 E Discovery Pkwy
Bloomington, IN 47408-9059
Phone (812) 353-9356

2900 16TH St
Bedford, IN 47421-3510
Phone (812) 275-1367

416 E Maumee St
Angola, IN 46703-2015
Phone (260) 667-5548

500 S Landmark Ave
Bloomington, IN 47403-3239
Phone (812) 333-7676

500 W Votaw St
Portland, IN 47371-1322
Phone (260) 726-1821

550 N University Blvd Room
Suite 0663
Indianapolis, IN 46202-5149

550 S Landmark Ave
Bloomington, IN 47403-3239
Phone (812) 353-2108

550 University Blvd
Indianapolis, IN 46202-5149
Phone (317) 948-7569

642 W Hospital Rd
Iu Health Paoli Hospital
Paoli, IN 47454-9672
Phone (812) 723-2811

720 Eskeanzi Ave
Indianapolis, IN 46202-5166
Phone (317) 880-7360

Hospital & facility affiliations

  • Indiana University Health Hospital, Indianapolis, IN, CCN 150056
  • Indiana University Health Bloomington Hospital Hospital, Bloomington, IN, CCN 150051
  • Indiana University Health North Hospital Hospital, Carmel, IN, CCN 150161
  • Indiana University Health Ball Memorial Hospital Hospital, Muncie, IN, CCN 150089
  • Eskenazi Health Hospital, Indianapolis, IN, CCN 150024

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Iu Health Medical Group, LLC CurrentSince Oct 1, 2025 Accepting new patients
Indiana University Radiology Associates, Inc. CurrentSince Jul 1, 2020 Accepting new patients

Locations

5924 Reliable Pkwy
Chicago, IL 60686

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

1633 N Capitol Ave
Ste 640
Indianapolis, IN 46202
Phone (317) 962-6335

250 N Shadeland Ave
Ste 200
Indianapolis, IN 46219
Phone (317) 962-4836

1701 Senate Blvd
#C6
Indianapolis, IN 46202
Phone (317) 962-9000

Interoperability endpoints

  • Direct secure messaging: bgray6@direct.iuhealth.org
  • Direct secure messaging: bgray15403@direct.eskenazihealth.edu

Organizations & group practices 2

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 6

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": "1397606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1144640251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 N CAPITOL AVE",
            "address_2": "METHODIST MEDICAL TOWER, STE 640",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021261",
            "telephone_number": "317-962-8881",
            "fax_number": "317-962-0838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "BENJAMIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-16",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bgray6@direct.iuhealth.org",
            "affiliation": "N",
            "address_1": "1633 N Capitol Ave",
            "address_2": "Methodist Medical Tower, Ste 640",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462021261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.