NPIMap

Individual provider Active NPI

Richard N Gray, MD

  • Diagnostic Radiology Physician
  • York, ME
National Provider Identifier
1619082849
Registry record updated Oct 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
017600 Issued in ME
Practice address
15 Hospital Drive
York, ME 03909-1011
Phone
(207) 363-4321
NPI assigned
Aug 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X 017600 ME
Diagnostic Radiology Physician 2085R0202X G37138 CA
Diagnostic Radiology Physician 2085R0202X 017600 ME Primary

Addresses

Primary practice location

15 Hospital Drive
York, ME 03909-1011

Mailing address

PO Box 1849
Lewiston, ME 04241-1849
Phone (207) 784-2554

Other practice location 1

11995 Singletree Ln Ste 500
Eden Prairie, MN 55344-5349
Phone (952) 595-1100

Other identifiers 2

IdentifierTypeStateIssuer
432722799MedicaidME
30207213MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071116000060 ME Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 4981659448 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Harvard Medical School, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yorkrad LLCGroup PAC ID 9133594740, 14 clinicians

Practice addresses (Care Compare)

3 Loving Kindness Way
York, ME 03909
Phone (207) 363-4321

Hospital & facility affiliations

  • York Hospital Hospital, York, ME, CCN 200020
  • Mainehealth Maine Medical Center Hospital, Portland, ME, CCN 200009
  • Wentworth-Douglass Hospital Hospital, Dover, NH, CCN 300018
  • Portsmouth Regional Hospital Hospital, Portsmouth, NH, CCN 300029

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
98.14 of 100Reported as group
Quality
100
Improvement activities
40
Cost
93.8

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
017600MEMDNeuroradiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Houlton Regional Hospital Current Accepting new patients
Seacoast Pathology Inc Current Accepting new patients
Yorkrad LLC Diagnostic Radiology CurrentSince Apr 1, 2023 Accepting new patients
Houlton Regional Hospital CurrentSince Oct 1, 2022 Accepting new patients
Palm Desert Radiology Medical Group, Inc Diagnostic Radiology CurrentSince Oct 8, 2022 Accepting new patients
Houlton Regional Hospital CurrentSince Oct 1, 2022 Accepting new patients
Crawford Hospital District Past Accepting new patients
South Coast Radiology, P.a. Diagnostic Radiology Past Accepting new patients
John P Anderson MD Russell M Perry MD and Mark a Sharzer MD a Med CRP Past Accepting new patients

Locations

20 Hartford St
Houlton, ME 04730
Phone (207) 532-2900

15 Hospital Dr
York, ME 03909
Phone (207) 351-2478

Organizations & group practices 11

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 40

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

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1619082849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1849",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042411849",
            "telephone_number": "207-784-2554",
            "fax_number": "207-777-5363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 HOSPITAL DRIVE",
            "city": "YORK",
            "state": "ME",
            "postal_code": "039091011",
            "telephone_number": "207-363-4321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11995 Singletree Ln Ste 500",
            "address_purpose": "LOCATION",
            "city": "Eden Prairie",
            "state": "MN",
            "postal_code": "553445349",
            "country_code": "US",
            "telephone_number": "952-595-1100",
            "fax_number": "612-294-4903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY",
        "first_name": "RICHARD",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "ME",
            "license": "017600",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G37138",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ME",
            "license": "017600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432722799",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30207213",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in York, ME

Sources for this page

Verify at the official NPI Registry.