Individual provider Active NPI

James M Gray, DPM

  • Podiatrist
  • Marshall, MI
National Provider Identifier
1508952821
Registry record updated Jun 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
JG001055 Issued in MI
Practice address
1170 W Mich Ave
Marshall, MI 49068
Phone
(269) 781-4700
Fax
(269) 781-7168
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X JG001055 MI Primary

Addresses

Primary practice location

1170 W Mich Ave
Marshall, MI 49068

Mailing address

1170 W Mich Ave
Marshall, MI 49068
Phone (269) 781-4700

Other identifiers 1

IdentifierTypeStateIssuer
2122030MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110511000168 MI Practitioner - Podiatry 4688850530 Reassigns benefits to 2 organizations
Practice locations: Battle Creek, MI; Marshall, MI

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spartan Podiatry PCGroup PAC ID 4789816117, 3 clinicians

Practice addresses (Care Compare)

391 S Shore Dr
Battle Creek, MI 49014-5446
Phone (269) 963-3535

Merit-based Incentive Payment System (MIPS)

Final score
87.06 of 100Reported as group
Quality
85.32
Promoting interoperability
100
Improvement activities
40
Cost
71.56

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue181
Removal or shaving of skin growth44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
JG001055MIMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Spartan Podiatry PC Podiatrist CurrentSince Jan 6, 2014 Accepting new patients
Ella E M Brown Charitable Circle CurrentSince Nov 17, 2010 Accepting new patients
Ella E M Brown Charitable Circle CurrentSince Nov 17, 2010 Accepting new patients
Ella E M Brown Charitable Circle Current Accepting new patients

Locations

391 S Shore Dr
Battle Creek, MI 49014
Phone (269) 963-3535

200 N Madison St
Marshall, MI 49068
Phone (269) 789-3921

1170 W Michigan Ave
Marshall, MI 49068
Phone (269) 781-4700

215 E Mansion St
Ste 2B
Marshall, MI 49068
Phone (269) 781-4018

13697 15 Mile Rd
Marshall, MI 49068
Phone (269) 781-6030

Interoperability endpoints

  • Direct secure messaging: james.gray.1@20440.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/20440/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276819200000",
    "number": "1508952821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 W MICH AVE",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "49068",
            "telephone_number": "269-781-4700",
            "fax_number": "269-781-7168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 W MICH AVE",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "49068",
            "telephone_number": "269-781-4700",
            "fax_number": "269-781-7168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "JAMES",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2010-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "JG001055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2122030",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshall, MI

Sources for this page

Verify at the official NPI Registry.