Individual provider Active NPI

Keith Daniel Gray, M.D.

  • Anesthesiology Physician
  • Redding, CA
National Provider Identifier
1174966717
Registry record updated Nov 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
149204 Issued in CA
Practice address
2175 Rosaline Ave
Redding, CA 96001-2549
Phone
(530) 225-6000
NPI assigned
Apr 13, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 149204 CA Primary

Addresses

Primary practice location

2175 Rosaline Ave
Redding, CA 96001-2549

Mailing address

2175 Rosaline Ave
Redding, CA 96001-2549
Phone (530) 225-6000

Other practice location 1

500 University Dr
MC H187
Hershey, PA 17033-2360
Phone (717) 531-5522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211007001967 PA Practitioner - Anesthesiology 7012297575 Reassigns benefits to 1 organization
I20220204001661 OH Practitioner - Anesthesiology 7012297575 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Keystone Anesthesia Consultants, LTDGroup PAC ID 2769378751, 51 clinicians
Trinity Hospital Holding CompanyGroup PAC ID 0244123834, 38 clinicians

Practice addresses (Care Compare)

1000 Bower Hill Rd
Pittsburgh, PA 15243-1873
Phone (412) 942-4000

1350 E Market St
Warren, OH 44483-6608
Phone (330) 841-9011

4000 Johnson Rd
Steubenville, OH 43952-2364
Phone (740) 264-8110

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
149204CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Hospital Holding Company Anesthesiology CurrentSince Feb 1, 2022 Accepting new patients
Keystone Anesthesia Consultants, LTD Anesthesiology CurrentSince Oct 1, 2021 Accepting new patients
Trinity Hospital Holding Company Current Accepting new patients

Locations

1350 E Market St
Warren, OH 44483
Phone (330) 841-5969

4000 Johnson Rd
Wintersville, OH 43952
Phone (740) 264-8011

1000 Bower Hill Rd
Pittsburgh, PA 15243
Phone (412) 344-6600

740 E State St
Sharon, PA 16146
Phone (724) 983-1980

155 Wilson Ave
Washington, PA 15301
Phone (724) 223-3342

109 Mount Wood Rd
Wheeling, WV 26003
Phone 3042332455146

Organizations & group practices 4

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 2

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": "1365811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511136000000",
    "number": "1174966717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2175 ROSALINE AVE",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012549",
            "telephone_number": "530-225-6000",
            "fax_number": "530-243-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2175 ROSALINE AVE",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012549",
            "telephone_number": "530-225-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 University Dr",
            "address_2": "MC H187",
            "address_purpose": "LOCATION",
            "city": "Hershey",
            "state": "PA",
            "postal_code": "170332360",
            "country_code": "US",
            "telephone_number": "717-531-5522",
            "fax_number": "717-531-0826",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY",
        "first_name": "KEITH",
        "middle_name": "DANIEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-13",
        "last_updated": "2017-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "149204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.