Tyler Rives Gray, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

D80230 Issued in MD

Practice address

2000 W Baltimore St
Suite 247
Baltimore, MD 21223-1558

Phone

(443) 703-1400

Fax

(443) 703-1499

NPI assigned

Mar 19, 2012

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 1

Medicare fee-for-service enrollment

Enrolled in MD

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

Family Practice

Education

Columbia University College of Physicians and Surgeons, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Health Care for the Homeless, IncGroup PAC ID 1456452382, shared by 3 NPIs, 21 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Medical Center Inc Hospital, Baltimore, MD, CCN 210008
• Sinai Hospital of Baltimore Hospital, Baltimore, MD, CCN 210012

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: tyler.rives.gray.1@23840.direct.athenahealth.com

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.

• Health Care for the Homeless, Inc

  • Federally Qualified Health Center (FQHC)
  • Baltimore, MD
  • NPI 1003819665
  NPD (past)
• Health Care for the Homeless, Inc

  • Federally Qualified Health Center (FQHC)
  • Baltimore, MD
  • NPI 1104150754
  NPD (past)
• Health Care for the Homeless, Inc.

  • General Practice Dentistry
  • Baltimore, MD
  • NPI 1033573050
  NPD (past)

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

• Mercy Medical Center Inc

  • General Acute Care Hospital
  • Baltimore, MD
  • NPI 1144282583
  Care Compare affiliation
• Sinai Hospital of Baltimore, Inc.

  • General Acute Care Hospital
  • Baltimore, MD
  • NPI 1285672204
  Care Compare affiliation
• Sinai Hospital of Baltimore, Inc.

  • General Acute Care Hospital
  • Baltimore, MD
  • NPI 1487325874
  Care Compare affiliation

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

{
    "created_epoch": "1332115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560124800000",
    "number": "1497020846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 W BALTIMORE ST",
            "address_2": "SUITE 247",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212231558",
            "telephone_number": "443-703-1400",
            "fax_number": "443-703-1499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 W BALTIMORE ST",
            "address_2": "SUITE 247",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212231558",
            "telephone_number": "443-703-1400",
            "fax_number": "443-703-1499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVES GRAY",
        "first_name": "TYLER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-19",
        "last_updated": "2019-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D80230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "383841200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aniyah L Rivers
• Latia Rivers, OTR/L
• Richard John Rivers, M.D.
• Shirley Rivers
• Sarah Tomlinson Rives Gray
• Anna Christine Rives, LMSW
• Rivkah M Eidex PSYD PC
• Daniel Rivkin, MD
• Paul Robert Rivkin, M.D.
• Stacy Rivkin

• Family Medicine Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; 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.