Enoch Kazeem Gray, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036.122290 Issued in IL

Practice address

6439 Garners Ferry Rd
Columbia, SC 29209-1638

Phone

(803) 776-4000

NPI assigned

Apr 18, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC, KY2 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

Specialty

HospitalistAlso: Internal Medicine

Education

Ohio State University College of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cogent Healthcare of Kentucky, PSCGroup PAC ID 0648294157, 106 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Joseph Hospital Hospital, Lexington, KY, CCN 180010
• Saint Joseph East Hospital, Lexington, KY, CCN 180143
• Saint Joseph London Hospital, London, KY, CCN 180011
• Saint Joseph Mount Sterling Hospital, Mount Sterling, KY, CCN 180064
• Harrison Memorial Hospital Hospital, Cynthiana, KY, CCN 180079

Merit-based Incentive Payment System (MIPS)

Final score

86.99 of 100Reported as group

Quality

81.65

Improvement activities

40

Cost

74.65

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Cogent Healthcare of Kentucky, PSC

  • Internal Medicine Physician
  • Lexington, KY
  • NPI 1053362293
  Medicare reassignment Care Compare group NPD
• Apogee Medical Group Kentucky PSC

  • General Practice Physician
  • Corbin, KY
  • NPI 1356503114
  Medicare reassignment NPD
• Apogee Medical Group South Carolina

  • Internal Medicine Physician
  • Scottsdale, AZ
  • NPI 1619028545

  SC

  Medicare reassignment NPD
• Hospital Medicine Services of Tennessee PC

  • Hospitalist Physician
  • Lawrenceburg, IN
  • NPI 1528433802

  Internal Medicine, KY

  Medicare reassignment NPD
• Southeastern Physician Services PC

  • Hospitalist Physician
  • Oak Ridge, TN
  • NPI 1083835441

  Internal Medicine, KY

  Medicare reassignment NPD
• Licking Memorial Professional Corp.

  • Pediatrics Physician
  • Utica, OH
  • NPI 1497771521
  NPD (past)
• Mount Carmel Health

  • Family Medicine Physician
  • Westerville, OH
  • NPI 1184646705
  NPD (past)
• Saint Joseph Health System, Inc

  • General Acute Care Hospital
  • Lexington, KY
  • NPI 1437150984
  NPD (past)
• Saint Joseph Health System, Inc

  • General Acute Care Hospital
  • Lexington, KY
  • NPI 1447457775
  NPD (past)
• Saint Joseph Health System, Inc

  • Rural Acute Care Hospital
  • London, KY
  • NPI 1992701429
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Harrison Memorial Hospital

  • General Acute Care Hospital
  • Cynthiana, KY
  • NPI 1629084702
  Care Compare affiliation
• Saint Joseph Health System Inc

  • Clinical Medical Laboratory
  • Lexington, KY
  • NPI 1215227012

  Hospital

  Care Compare affiliation
• Saint Joseph Health System, Inc

  • General Acute Care Hospital
  • Lexington, KY
  • NPI 1437150984
  Care Compare affiliation
• Saint Joseph Health System, Inc

  • General Acute Care Hospital
  • Lexington, KY
  • NPI 1447457775
  Care Compare affiliation
• Saint Joseph Health System, Inc

  • General Acute Care Hospital
  • Mt Sterling, KY
  • NPI 1679679146
  Care Compare affiliation
• Saint Joseph Health System, Inc

  • Clinic/Center
  • Nicholasville, KY
  • NPI 1861650814

  Hospital

  Care Compare affiliation
• Saint Joseph Health System, Inc

  • Rural Acute Care Hospital
  • London, KY
  • NPI 1992701429
  Care Compare affiliation

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1346466299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7074 GLENGARRY DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292093020",
            "telephone_number": "614-359-4710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6439 GARNERS FERRY RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292091638",
            "telephone_number": "803-776-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2435 Forest Dr",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292042026",
            "country_code": "US",
            "telephone_number": "803-256-5855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY",
        "first_name": "ENOCH",
        "middle_name": "KAZEEM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.089004",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036.122290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3121197",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaclyn Marie Gravis, FNP
• Justin Robert Gravis, CRNA
• Valencia Giselle Gray-Williams, PHARM.D.
• Allyson Gray
• Carlotta Juliana Gray, APRN
• Hudson Denne Gray, DMD
• Jill Ann Gray
• Mackenzie Leigh Gray
• Margaret Alexander Gray, MD
• Nathaniel Garrett Gray, M.D.

• Internal Medicine Physician in Columbia, SC
• Providers in Columbia, SC by specialty
• Internal Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; 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.