Individual provider Active NPI

Cary F Gray, MD

  • Surgery Physician
  • Slidell, LA
National Provider Identifier
1659467488
Registry record updated Feb 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
LO13790 Issued in LA
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

Updated by the provider on Feb 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00011676MedicaidMS
1303755MedicaidLA

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080808000057 LA Practitioner - General Surgery 2860435856 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LO13790LAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Jefferson Physicians Group LLC CurrentSince Mar 1, 2023 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.