NPIMap

Individual provider Active NPI

Derwin P Gray, M.D.

  • Obstetrics & Gynecology Physician
  • Chesapeake, VA
National Provider Identifier
1326050964
Registry record updated Dec 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
010104256 Issued in VA
Practice address
1101 Madison PLZ
Suite 201
Chesapeake, VA 23320-5179
Phone
(757) 547-2322
Fax
(757) 547-9439
NPI assigned
Aug 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 010104256 VA Primary

Addresses

Primary practice location

1101 Madison PLZ
Suite 201
Chesapeake, VA 23320-5179

Mailing address

1101 Madison PLZ
Suite 201
Chesapeake, VA 23320-5179
Phone (757) 547-2322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20111207000025 VA Practitioner - Obstetrics/Gynecology 5991890568 Reassigns benefits to 1 organization
I20200407002875 NC Practitioner - Obstetrics/Gynecology 5991890568 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Tulane University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-Atlantic Womens Care PLCGroup PAC ID 8820998156, 98 clinicians

Practice addresses (Care Compare)

109 Currituck Commerical Dr
Suite B
Moyock, NC 27958-9068
Phone (252) 338-0101

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.45 of 100Reported as group
Quality
76.15
Promoting interoperability
100
Improvement activities
40
Cost
75.34

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
010104256VAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Atlantic Womens Care PLC Obstetrics & Gynecology CurrentSince Feb 19, 2020 Accepting new patients
Mid-Atlantic Womens Care PLC Obstetrics & Gynecology CurrentSince Apr 1, 1999 Accepting new patients
Mid-Atlantic Womens Care PLC Past Accepting new patients
Mid-Atlantic Womens Care PLC Obstetrics & Gynecology Past Accepting new patients
Mid-Atlantic Womens Care PLC Obstetrics & Gynecology Past Accepting new patients

Locations

109 Currituck Commerical Dr
Ste B
Moyock, NC 27958
Phone (252) 232-1210

1101 Madison Plz
Ste 201
Chesapeake, VA 23320
Phone (757) 547-2322

844 Kempsville Rd
Ste 208
Norfolk, VA 23502
Phone (757) 461-3890

Interoperability endpoints

  • Direct secure messaging: derwin.gray.1@22824.direct.athenahealth.com

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 5

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": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482796800000",
    "number": "1326050964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 MADISON PLZ",
            "address_2": "SUITE 201",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233205179",
            "telephone_number": "757-547-2322",
            "fax_number": "757-547-9439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 MADISON PLZ",
            "address_2": "SUITE 201",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233205179",
            "telephone_number": "757-547-2322",
            "fax_number": "757-547-9439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "DERWIN",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2016-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "010104256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.