Individual provider Active NPI

Richard J Gray, MD

  • Vascular & Interventional Radiology Physician
  • Philadelphia, PA
National Provider Identifier
1407846090
Registry record updated Feb 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
MD434194 Issued in PA
Practice address
7959 Bustleton Ave
Philadelphia, PA 19152-3320
Phone
(215) 742-5662
Fax
(215) 742-5663
NPI assigned
Oct 25, 2005
Last updated
Feb 1, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD17704 DC
Vascular & Interventional Radiology Physician 2085R0204X MD17704 DC
Vascular & Interventional Radiology Physician 2085R0204X MD434194 PA Primary

Addresses

Primary practice location

7959 Bustleton Ave
Philadelphia, PA 19152-3320

Mailing address

40 Valley Stream Pkwy
Suite 100
Malvern, PA 19355-1407
Phone (610) 644-8900

Other identifiers 3

IdentifierTypeStateIssuer
125141RS8OtherPAMEDICARE
102173425MedicaidOR
MD434194OtherPAMEDICAL LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20080710000100 PA Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 8628158680 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
JS Weill Medical College, Cornell University, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Access Care of SP LLCGroup PAC ID 2365411469, 6 clinicians

Practice addresses (Care Compare)

2412 W Passyunk Ave
14 Azura Vascular Care South Philadelphia
Philadelphia, PA 19145-4114
Phone (215) 462-2100

Merit-based Incentive Payment System (MIPS)

Final score
73.55 of 100Reported as group
Quality
88.28
Promoting interoperability
0
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
74.53 of 100Reported as group
Quality
67.3
Promoting interoperability
87
Improvement activities
40
Cost
25.28

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD17704DCMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Access Care of Pennsylvania LLC Vascular & Interventional Radiology CurrentSince Jul 1, 2008 Accepting new patients
American Access Care of SP LLC Vascular & Interventional Radiology CurrentSince Jul 1, 2008 Accepting new patients
American Access Care of Pennsylvania LLC CurrentSince Jul 1, 2008 Accepting new patients
University of Maryland Diagnostic Imaging Specialists P a Diagnostic Radiology Past Accepting new patients
Vascular Diagnostic Center PC Diagnostic Radiology Past Accepting new patients
Center Radiology PC Diagnostic Radiology Past Accepting new patients

Locations

40 Valley Stream Pkwy
Ste 100
Malvern, PA 19355

2412 W Passyunk Ave
#14
Philadelphia, PA 19145
Phone (215) 462-2100

7959 Bustleton Ave
Philadelphia, PA 19152
Phone (215) 742-5662

Interoperability endpoints

  • Direct secure messaging: richard.gray.p113@direct.aac.nextgenshare.com
  • Direct secure messaging: richard.gray.p114@direct.aac.nextgenshare.com
  • Direct secure messaging: richard.gray.p118@direct.aac.nextgenshare.com
  • Direct secure messaging: richard.gray.p18@direct.aac.nextgenshare.com
  • Direct secure messaging: richard.gray.p181@direct.aac.nextgenshare.com
  • Direct secure messaging: richard.gray.p196@direct.aac.nextgenshare.com
  • Direct secure messaging: richard.gray.p2@direct.aac.nextgenshare.com
  • Direct secure messaging: richard.gray.p211@direct.aac.nextgenshare.com
  • Direct secure messaging: richard.gray.p24@direct.aac.nextgenshare.com
  • Direct secure messaging: richard.gray.p28@direct.aac.nextgenshare.com
  • Direct secure messaging: richard.gray.p35@direct.aac.nextgenshare.com
  • Direct secure messaging: richard.gray.p37@direct.aac.nextgenshare.com
  • Direct secure messaging: richard.gray.p39@direct.aac.nextgenshare.com
  • Direct secure messaging: richard.gray.p40@direct.aac.nextgenshare.com
  • Direct secure messaging: richard.gray.p59@direct.aac.nextgenshare.com
  • Direct secure messaging: richard.gray.p60@direct.aac.nextgenshare.com
  • Direct secure messaging: richard.gray.p82@direct.aac.nextgenshare.com
  • Direct secure messaging: richard.gray.p83@direct.aac.nextgenshare.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454284800000",
    "number": "1407846090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 VALLEY STREAM PKWY",
            "address_2": "SUITE 100",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193551407",
            "telephone_number": "610-644-8900",
            "fax_number": "610-644-8909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7959 BUSTLETON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191523320",
            "telephone_number": "215-742-5662",
            "fax_number": "215-742-5663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "RICHARD",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2016-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "DC",
            "license": "MD17704",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "DC",
            "license": "MD17704",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "PA",
            "license": "MD434194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "125141RS8",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102173425",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "MD434194",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.