Individual provider Active NPI

Richard Ian Gray, M.D.

  • Neuroradiology Physician
  • Memphis, TN
National Provider Identifier
1679796486
Registry record updated Sep 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
48192 Issued in TN
Practice address
865 Jefferson Ave # F150
Uthsc Dept. of Radiology
Memphis, TN 38103-2807
Phone
(901) 448-4454
NPI assigned
Apr 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2013

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 42942 AZ
Diagnostic Radiology Physician 2085R0202X E-5928 AR
Diagnostic Radiology Physician 2085R0202X 097447 OH
Diagnostic Radiology Physician 2085R0202X 48192 TN
Neuroradiology Physician 2085N0700X 097447 OH
Neuroradiology Physician 2085N0700X 48192 TN Primary

Addresses

Primary practice location

865 Jefferson Ave # F150
Uthsc Dept. of Radiology
Memphis, TN 38103-2807

Mailing address

865 Jefferson Ave # F150
Uthsc Dept. of Radiology
Memphis, TN 38103-2807
Phone (901) 448-4454

Other identifiers 2

IdentifierTypeStateIssuer
Z137901OtherMEDICARE
521835MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20120712000453 TN Practitioner - Diagnostic Radiology 6406988393 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Tennessee, HSC, College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1924 Alcoa Hwy
Knoxville, TN 37920-1511
Phone (865) 305-9661

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.17 of 100Reported as group
Quality
89.39
Improvement activities
40
Cost
100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-5928ARMDDiagnostic Radiology Physician
097447OHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Osu Radiology LLC Diagnostic Radiology CurrentSince Jul 7, 2011 Accepting new patients
University Diagnostics, LLC Diagnostic Radiology CurrentSince Jan 31, 2023 Accepting new patients
Association of University Radiologists, PC Diagnostic Radiology CurrentSince Apr 1, 2018 Accepting new patients
Leconte Radiology PC Diagnostic Radiology CurrentSince Aug 14, 2018 Accepting new patients
University Diagnostics, LLC Diagnostic Radiology CurrentSince Jan 25, 2023 Accepting new patients
University Diagnostics, LLC Diagnostic Radiology CurrentSince Mar 1, 2023 Accepting new patients

Locations

395 W 12th Ave
Rm 460
Columbus, OH 43210
Phone (614) 293-8299

266 Joule St
Alcoa, TN 37701
Phone (865) 984-3864

11440 Parkside Dr
Ste 204
Knoxville, TN 37934
Phone (865) 675-1300

1924 Alcoa Hwy
#U107
Knoxville, TN 37920
Phone (865) 305-8685

851 Locust St
Rogersville, TN 37857
Phone (423) 272-2671

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379462400000",
    "number": "1679796486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 JEFFERSON AVE # F150",
            "address_2": "UTHSC DEPT. OF RADIOLOGY",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381032807",
            "telephone_number": "901-448-4454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 JEFFERSON AVE # F150",
            "address_2": "UTHSC DEPT. OF RADIOLOGY",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381032807",
            "telephone_number": "901-448-4454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "RICHARD",
        "middle_name": "IAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2013-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "42942",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AR",
            "license": "E-5928",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "097447",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "48192",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "OH",
            "license": "097447",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "TN",
            "license": "48192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "Z137901",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "521835",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.