Individual provider Active NPI

Rachel Gray Chandler, MD

  • Dermatology Physician
  • Midland, TX
National Provider Identifier
1396937280
Registry record updated Oct 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
N6211 Issued in TX
Practice address
5117 Sunmore Cir
Midland, TX 79707
Phone
(432) 689-2512
Fax
(432) 689-2108
NPI assigned
Aug 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X N6211 TX Primary

Addresses

Primary practice location

5117 Sunmore Cir
Midland, TX 79707

Mailing address

5117 Sunmore Cir
Midland, TX 79707-5124
Phone (432) 689-2512

Other practice location 1

4214 Andrews Hwy
Suite 110
Midland, TX 79703-4822
Phone (432) 689-2491

Other names 1

  • Ms. Rachel Gray Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110902000263 TX Practitioner - Dermatology 9739359563 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Texas Tech University Health Science Center School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Akin Chandler MD PLLCGroup PAC ID 3779838180, 6 clinicians

Practice addresses (Care Compare)

5117 Sunmore Cir
Midland, TX 79707-5124
Phone (432) 689-2512

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision105
Removal of skin lesions2670
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy462

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Akin Chandler MD PLLC Dermatology CurrentSince Jun 15, 2019 Accepting new patients

Locations

5117 Sunmore Cir
Midland, TX 79707
Phone (432) 689-2512

Interoperability endpoints

  • Direct secure messaging: rachel.chandler@direct.myteamcare.com

Organizations & group practices 1

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": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1396937280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5117 SUNMORE CIR",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797075124",
            "telephone_number": "432-689-2512",
            "fax_number": "432-689-2108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5117 SUNMORE CIR",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "79707",
            "telephone_number": "432-689-2512",
            "fax_number": "432-689-2108"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4214 Andrews Hwy",
            "address_2": "Suite 110",
            "address_purpose": "LOCATION",
            "city": "Midland",
            "state": "TX",
            "postal_code": "797034822",
            "country_code": "US",
            "telephone_number": "432-689-2491",
            "fax_number": "432-689-2108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANDLER",
        "first_name": "RACHEL",
        "middle_name": "GRAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-14",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "N6211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "GRAY",
            "prefix": "MS.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Midland, TX

Sources for this page

Verify at the official NPI Registry.