Active NPI
Jamie E Gray, MD
- Internal Medicine Physician
- Vail, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 44791
- Practice address
- 181 W Meadow Dr
Suite 800 C/O Deb Novak Credentialing
Vail, CO 81657-5242 - Phone
- (970) 476-7600
- NPI assigned
- May 27, 2006
- Last updated
- Aug 27, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 20008329 | WA | |
| Internal Medicine Physician | 207R00000X | 44791 | CO | Primary |
Addresses
Primary practice location
181 W Meadow Dr
Suite 800 C/O Deb Novak Credentialing
Vail, CO 81657-5242
Mailing address
PO Box 1749
C/O Deb Novak Credentialing
Edwards, CO 81632-1749
Phone (970) 926-6340
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 88877027 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Drexel University College of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
181 W Meadow Dr
Vail Health Hospital
Vail, CO 81657-5242
Phone (970) 476-2451
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44791 | CO | MD | Internal Medicine Physician |
| 20008329 | WA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rural Physicians Group - Pannu PLLC | Internal Medicine | Current | Accepting new patients |
| Vail Clinic Inc | Current | Accepting new patients | |
| Colorado Mountain Medical, PC | Internal Medicine | Past | Accepting new patients |
| Sterling Regional Medcenter | Past | Accepting new patients |
Locations
5575 Dtc Pkwy
Ste 225
Greenwood Village, CO 80111
181 W Meadow Dr
Vail, CO 81657
Phone (970) 476-1225
181 W Meadow Dr
Ste 100
Vail, CO 81657
Phone (970) 476-8872
181 W Meadow Dr
Ste 800
Vail, CO 81657
Phone (970) 476-5695
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Hospitalist Physician
- Greenwood Village, CO
- NPI 1891236584
-
- Hospitalist Physician
- Brush, CO
- NPI 1194306340
Internal Medicine
-
- General Acute Care Hospital
- Sterling, CO
- NPI 1942238555
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Beaver Creek Medical Center - Service of Vail Health Hospital
- General Acute Care Hospital
- Avon, CO
- NPI 1093361842
-
dba Shaw Cancer Center - Service of Vail Health Hospital
- General Acute Care Hospital
- Edwards, CO
- NPI 1144876251
-
dba Precourt Healing Center
- General Acute Care Hospital
- Edwards, CO
- NPI 1659151009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188172800000",
"number": "1619924610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1749",
"address_2": "C/O DEB NOVAK CREDENTIALING",
"city": "EDWARDS",
"state": "CO",
"postal_code": "816321749",
"telephone_number": "970-926-6340",
"fax_number": "970-926-6348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "181 W MEADOW DR",
"address_2": "SUITE 800 C/O DEB NOVAK CREDENTIALING",
"city": "VAIL",
"state": "CO",
"postal_code": "816575242",
"telephone_number": "970-476-7600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "JAMIE",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-27",
"last_updated": "2007-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "20008329",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CO",
"license": "44791",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "88877027",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Vail, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2007; 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.