David R Gray, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

01041342A Issued in IN

Practice address

1250 S Creasy LN
Suite a
Lafayette, IN 47905-4960

Phone

(765) 449-2732

Fax

(765) 449-1196

NPI assigned

Mar 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

Anesthesiology

Education

University of Oklahoma College of Medicine, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Unity Healthcare LLCGroup PAC ID 0244123362, 62 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dgray106868@direct.franciscanalliance.org

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.

• Unity Healthcare, LLC

  • Clinic/Center
  • Lafayette, IN
  • NPI 1619929098
  Medicare reassignment Care Compare group NPD
• GLHS Anesthesia Group

  • Anesthesiology Physician
  • Lafayette, IN
  • NPI 1588673560
  Medicare reassignment NPD
• Unity Healthcare LLC

  • Vascular Surgery Physician
  • Lafayette, IN
  • NPI 1427759182
  NPD
• Unity Healthcare LLC

  • Anesthesiology Physician
  • Lafayette, IN
  • NPI 1508023441
  NPD
• Sheridan Healthcare of Indiana PC

  • Certified Registered Nurse Anesthetist
  • Logansport, IN
  • NPI 1770566234

  Anesthesiology

  NPD (past)

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238630400000",
    "number": "1457320210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4699",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479034699",
            "telephone_number": "765-449-2732",
            "fax_number": "765-449-1196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 S CREASY LN",
            "address_2": "SUITE A",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479054960",
            "telephone_number": "765-449-2732",
            "fax_number": "765-449-1196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "DAVID",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2009-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01041342A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER",
            "identifier": "000000110554",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200165100",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William J Granger, MD
• Larisa Iveta Grants, PT, DPT
• Erica Granz, RBT
• Richard E. Graves
• Andrea B Gray, MS
• Dona Leslie Gray, MD
• Rebecah Gray, CST
• Rebecca Gray, OTD
• Greater Lafayette Health Services
• Greater Lafayette Health Services

• Anesthesiology Physician in Lafayette, IN
• Providers in Lafayette, IN by specialty
• Anesthesiology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2009; 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.