Active NPI
Cary F Gray, MD
- Surgery Physician
- Slidell, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- LO13790
- Practice address
- 1150 Robert Blvd
Suite 220
Slidell, LA 70458-2004 - Phone
- (985) 646-4444
- Fax
- (985) 646-4448
- NPI assigned
- Oct 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | LO13790 | LA | Primary |
Addresses
Primary practice location
1150 Robert Blvd
Suite 220
Slidell, LA 70458-2004
Mailing address
1150 Robert Blvd
Suite 220
Slidell, LA 70458-2004
Phone (985) 646-4444
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00011676 | Medicaid | MS | |
| 1303755 | Medicaid | LA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | CARY.GRAY@hca9.eclinicaldirectplus.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LO13790 | LA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Jefferson Physicians Group LLC | Current | Accepting new patients | |
| Center for Restorative Breast Surgery LLC | Past | Accepting new patients | |
| Metairie Physician Services Inc. | Past | Accepting new patients |
Locations
101 Judge Tanner Blvd
Ste 106
Covington, LA 70433
Phone (985) 867-2128
4228 Houma Blvd
Ste 530
Metairie, LA 70006
Phone (504) 456-8415
4320 Houma Blvd
Fl 6
Metairie, LA 70006
Phone (504) 503-4109
4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028
2050 Gause Blvd E
Ste 250
Slidell, LA 70461
Phone (985) 646-4444
Interoperability endpoints
- cary.gray@hca9.eclinicaldirectplus.com
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- New Orleans, LA
- NPI 1922293372
-
- Plastic and Reconstructive Surgery Physician
- New Orleans, LA
- NPI 1407043755
-
- Internal Medicine Physician
- Metairie, LA
- NPI 1801233648
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": "1644537600000",
"number": "1659467488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 ROBERT BLVD",
"address_2": "SUITE 220",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704582004",
"telephone_number": "985-646-4444",
"fax_number": "985-646-4448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 ROBERT BLVD",
"address_2": "SUITE 220",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704582004",
"telephone_number": "985-646-4444",
"fax_number": "985-646-4448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "CARY",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2022-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "LA",
"license": "LO13790",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00011676",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1303755",
"state": "LA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "CARY.GRAY@hca9.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "1150 Robert Blvd",
"address_2": "SUITE 220",
"city": "Slidell",
"state": "LA",
"country_code": "US",
"postal_code": "704582004",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Slidell, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.