Individual provider Active NPI

Scott E Gray, MD

  • Maternal & Fetal Medicine Physician
  • Grand Junction, CO
National Provider Identifier
1235134453
Registry record updated Oct 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
19027 Issued in NE
Practice address
425 Patterson Rd
Suite 406
Grand Junction, CO 81506-1953
Phone
(970) 298-2275
Fax
(970) 298-7814
NPI assigned
Jun 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X 110344 MO
Maternal & Fetal Medicine Physician 207VM0101X 46858 CO
Maternal & Fetal Medicine Physician 207VM0101X 18720 KS
Maternal & Fetal Medicine Physician 207VM0101X 19027 NE Primary

Addresses

Primary practice location

425 Patterson Rd
Suite 406
Grand Junction, CO 81506-1953

Mailing address

425 Patterson Rd
Suite 406
Grand Junction, CO 81506-1953
Phone (970) 298-2275

Other identifiers 3

IdentifierTypeStateIssuer
64454274MedicaidCO
100271580HMedicaidKS
1235134453MedicaidUT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
46858COMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Perinatal Associates, P.a. Maternal & Fetal Medicine Past Accepting new patients
University Health Physicians Past Accepting new patients
Saint Lukes Physician Group II LLC Past Accepting new patients

Organizations & group practices 3

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": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539648000000",
    "number": "1235134453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 PATTERSON RD",
            "address_2": "SUITE 406",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815061953",
            "telephone_number": "970-298-2275",
            "fax_number": "970-298-7814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 PATTERSON RD",
            "address_2": "SUITE 406",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815061953",
            "telephone_number": "970-298-2275",
            "fax_number": "970-298-7814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "SCOTT",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2018-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "MO",
            "license": "110344",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "CO",
            "license": "46858",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "KS",
            "license": "18720",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "NE",
            "license": "19027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64454274",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100271580H",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235134453",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.