Individual provider Active NPI

Nancy Tray, MD

  • Internal Medicine Physician
  • Monterey, CA
National Provider Identifier
1306112677
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
275463 Issued in NY
Practice address
5 Harris CT., BLDG. T, Ste. 201
Monterey, CA 93940
Phone
(831) 375-4105
Fax
(831) 372-5722
NPI assigned
Mar 30, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 275463 NY Primary

Addresses

Primary practice location

5 Harris CT., BLDG. T, Ste. 201
Monterey, CA 93940

Mailing address

5 Harris CT Ste 201
Monterey, CA 93940-5750
Phone (831) 375-4105

Other identifiers 1

IdentifierTypeStateIssuer
A162289OtherCAMEDICAL BOARD OF CALIFORNIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CA2 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
I20150904001709 NY Practitioner - Internal Medicine 7214243252 Reassigns benefits to 1 organization
I20190904001716 CA Practitioner - Hematology/Oncology 7214243252 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Georgetown University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Monterey Bay Oncology a Medical CorporationGroup PAC ID 6507826856, 14 clinicians

Practice addresses (Care Compare)

5 Harris CT
Suite 201
Monterey, CA 93940-5750
Phone (831) 375-4105

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
98.61
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
275463NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Medical Consultation Group Internal Medicine CurrentSince Jul 1, 2015 Accepting new patients
Monterey Bay Oncology a Medical Corporation CurrentSince Sep 3, 2019 Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Oct 9, 2019 Accepting new patients
Monterey Bay Oncology PastSince Sep 3, 2019 Accepting new patients
Memorial Hospital for Cancer and Allied Diseases Past Accepting new patients

Locations

5 Harris Ct
Bldg T
Monterey, CA 93940
Phone (408) 375-4105

23625 Wr Holman Hwy
Monterey, CA 93940
Phone (831) 622-2708

5 Harris Ct
Ste 201
Monterey, CA 93940
Phone (831) 375-4105

633 3rd Ave
Lbby 3
New York, NY 10017
Phone (848) 225-6000

1275 York Ave
New York, NY 10065
Phone (212) 639-3813

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.

Hospital & facility affiliations 3

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": "1333065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1306112677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 HARRIS CT STE 201",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405750",
            "telephone_number": "831-375-4105",
            "fax_number": "831-642-4097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 HARRIS CT., BLDG. T, STE. 201",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "93940",
            "telephone_number": "831-375-4105",
            "fax_number": "831-372-5722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAY",
        "first_name": "NANCY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-30",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "275463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL BOARD OF CALIFORNIA",
            "identifier": "A162289",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

Verify at the official NPI Registry.