Jeanne-Elyse Gray Cedeno, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME106978 Issued in FL

Practice address

10041 Pines Blvd Ste a
Pembroke Pines, FL 33024-6170

Phone

(754) 273-6278

Fax

(954) 374-6954

NPI assigned

Apr 20, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Dr. Jeanne Elyse Gray Other name

Medicare fee-for-service enrollment

Enrolled in FL, TX, CT, NM4 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 4

Specialty

Family Practice

Education

Michigan College of Medicine and Surgery, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optumcare New Mexico LLCGroup PAC ID 9032125810, 69 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jcedeno209039@westdirect.optum.com

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.

• Optumcare New Mexico LLC

  • Family Medicine Physician
  • Albuquerque, NM
  • NPI 1124053210

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Community Health and Wellness Center of Miami Inc

  • Family Medicine Physician
  • Miami, FL
  • NPI 1932504370

  Multi-Specialty

  Medicare reassignment NPD
• DHHS PHS Naihs Chinle Comprehensive Health Care Facility

  • General Acute Care Hospital
  • Chinle, AZ
  • NPI 1508800129

  Multi-Specialty, TX

  Medicare reassignment NPD
• Prohealth Physicians PC

  • Family Medicine Physician
  • Farmington, CT
  • NPI 1720194053

  Multi-Specialty

  Medicare reassignment NPD
• DHHS PHS Naihs Chinle Comprehensive

  • Ambulatory Surgical Clinic/Center
  • Chinle, AZ
  • NPI 1922253129
  NPD
• DHHS PHS Naihs Chinle Comprehensive Health Care Facility

  • General Acute Care Hospital
  • Tsaile, AZ
  • NPI 1538185715

  Multi-Specialty

  NPD
• Joseph R Aragon MD

  • Family Medicine Physician
  • Los Lunas, NM
  • NPI 1194827535

  Multi-Specialty

  NPD
• Ortho Care RX Corp

  • Prosthetic/Orthotic Supplier
  • Miami, FL
  • NPI 1104099845
  NPD (past)

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

{
    "created_epoch": "1240185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1184867202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 HOLLYWOOD BLVD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216557",
            "telephone_number": "954-266-2999",
            "fax_number": "954-966-3320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10041 PINES BLVD STE A",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246170",
            "telephone_number": "754-273-6278",
            "fax_number": "954-374-6954"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1295 NW 40th Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Lauderhill",
            "state": "FL",
            "postal_code": "333135801",
            "country_code": "US",
            "telephone_number": "954-583-4710",
            "fax_number": "954-583-4711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CEDENO",
        "first_name": "JEANNE-ELYSE",
        "middle_name": "GRAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-20",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME106978",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "BP10030078",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12239368",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "79257",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004106900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANNE",
            "last_name": "GRAY",
            "middle_name": "ELYSE",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• CC Counseling, LLC
• Alba Lucia Ceballos, APRN
• Natalie Ceballos, MD
• Michelle A. Cecic-Piso, CRNA
• Dolly Cedeno, AC P.RD, LDN
• Chloe Celusnek, PA
• Emmanuella Cenophat, ARNP
• Ana Centeno
• Luis Enrique Centeno III, DDS
• Sabrina Centeno

• Family Medicine Physician in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; 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.