Individual provider Active NPI

Pamela Gray, MD

  • Anesthesiology Physician
  • Bridgeport, CT
National Provider Identifier
1528088663
Registry record updated Oct 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
37054 Issued in CT
Practice address
267 Grant St
Bridgeport Anesthesia Associates, P.C.
Bridgeport, CT 06610-2805
Phone
(203) 384-3174
NPI assigned
Jul 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 37054 CT Primary

Addresses

Primary practice location

267 Grant St
Bridgeport Anesthesia Associates, P.C.
Bridgeport, CT 06610-2805

Mailing address

7365 Main St
Suite 310
Stratford, CT 06614-1300
Phone (203) 384-3174

Other identifiers 1

IdentifierTypeStateIssuer
1370543MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101007000452 CT Practitioner - Anesthesiology 2264339779 Reassigns benefits to 5 organizations
I20200203001902 NY Practitioner - Anesthesiology 2264339779

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Wisconsin School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Anesthesia Associates LLCGroup PAC ID 1759281165, 402 clinicians

Practice addresses (Care Compare)

130 Division St
Derby, CT 06418-1326
Phone (203) 732-1510

80 Semour St
Hartford, CT 06106-3315
Phone (860) 972-2117

Hospital & facility affiliations

  • Griffin Hospital Hospital, Derby, CT, CCN 070031

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37054CTMDAnesthesiology Physician
302277NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Endoscopy Center of Connecticut, LLC CurrentSince Aug 1, 2018 Accepting new patients
Endoscopy Center of Connecticut, LLC CurrentSince Aug 1, 2018 Accepting new patients
North American Partners in Anesthesia LLP Anesthesiology CurrentSince Dec 8, 2019 Accepting new patients
North American Partners in Anesthesia Connecticut PC Anesthesiology CurrentSince May 5, 2018 Accepting new patients
Bridgeport Anesthesia Associates, P.C. Anesthesiology CurrentSince Mar 1, 2001 Accepting new patients
Integrated Anesthesia Associates LLC Anesthesiology CurrentSince Sep 1, 2020 Accepting new patients
Connecticut Gi PLLC CurrentSince Sep 1, 2018 Accepting new patients

Locations

267 Grant St
Bridgeport, CT 06610
Phone (203) 384-3170

2200 Whitney Ave
Ste 380
Hamden, CT 06518
Phone (203) 281-3636

85 Seymour St
Ste 1000
Hartford, CT 06106
Phone (860) 246-2571

80 Seymour St
Hartford, CT 06106
Phone (860) 545-2249

60 Wellington Rd
Milford, CT 06461
Phone (203) 878-2010

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

30 Waterchase Dr
Rocky Hill, CT 06067
Phone (860) 257-4131

2 Corporate Dr
Ste 955
Shelton, CT 06484
Phone (203) 929-7375

7365 Main St
Ste 310
Stratford, CT 06614
Phone (203) 384-3174

670 Stoneleigh Ave
Carmel, NY 10512
Phone (845) 230-4721

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107

1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341

Interoperability endpoints

  • Direct secure messaging: pamelae.gray@xdr.hhchealthdirect.org

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256601600000",
    "number": "1528088663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7365 MAIN ST",
            "address_2": "SUITE 310",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066141300",
            "telephone_number": "203-384-3174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 GRANT ST",
            "address_2": "BRIDGEPORT ANESTHESIA ASSOCIATES, P.C.",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066102805",
            "telephone_number": "203-384-3174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "PAMELA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2009-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CT",
            "license": "37054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1370543",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, CT

Sources for this page

Verify at the official NPI Registry.