Active NPI
Richard J Gray, MD
- Vascular & Interventional Radiology Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- MD434194
- 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, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 125141RS8 | Other | PA | MEDICARE |
| 102173425 | Medicaid | OR | |
| MD434194 | Other | PA | MEDICAL 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Radiology
- Education
- JS Weill Medical College, Cornell University, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- Quality
- 88.28
- Promoting interoperability
- 0
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 74.53 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| MD17704 | DC | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Access Care of Pennsylvania LLC | Vascular & Interventional Radiology | Current | Accepting new patients |
| American Access Care of SP LLC | Vascular & Interventional Radiology | Current | Accepting new patients |
| American Access Care of Pennsylvania LLC | Current | 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
- richard.gray.p113@direct.aac.nextgenshare.com
- richard.gray.p114@direct.aac.nextgenshare.com
- richard.gray.p118@direct.aac.nextgenshare.com
- richard.gray.p18@direct.aac.nextgenshare.com
- richard.gray.p181@direct.aac.nextgenshare.com
- richard.gray.p196@direct.aac.nextgenshare.com
- richard.gray.p2@direct.aac.nextgenshare.com
- richard.gray.p211@direct.aac.nextgenshare.com
- richard.gray.p24@direct.aac.nextgenshare.com
- richard.gray.p28@direct.aac.nextgenshare.com
- richard.gray.p35@direct.aac.nextgenshare.com
- richard.gray.p37@direct.aac.nextgenshare.com
- richard.gray.p39@direct.aac.nextgenshare.com
- richard.gray.p40@direct.aac.nextgenshare.com
- richard.gray.p59@direct.aac.nextgenshare.com
- richard.gray.p60@direct.aac.nextgenshare.com
- richard.gray.p82@direct.aac.nextgenshare.com
- 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.
-
dba Azura Vascular Care South Philadelphia
- Vascular & Interventional Radiology Physician
- Philadelphia, PA
- NPI 1588639819
-
dba Azura Vascular Care Northeast Philadelphia
- Vascular & Interventional Radiology Physician
- Philadelphia, PA
- NPI 1063487627
-
- Diagnostic Radiology Physician
- Philadelphia, PA
- NPI 1972597565
-
- Ambulatory Surgical Clinic/Center
- Philadelphia, PA
- NPI 1942516430
-
- Vascular & Interventional Radiology Physician
- Pottstown, PA
- NPI 1528233954
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Washington, DC
- NPI 1942271341
-
- Diagnostic Radiology Physician
- Baltimore, MD
- NPI 1154335487
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2016; 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.