Individual provider Active NPI

Caleb Ward Grey, PA-C

  • Physician Assistant
  • Pittsburgh, PA
National Provider Identifier
1700632650
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA065489 Issued in PA
Practice address
510 S Aiken Ave Ste Eg-01
Pittsburgh, PA 15232-1505
Phone
(412) 683-1717
NPI assigned
Apr 30, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA065489 PA Primary

Addresses

Primary practice location

510 S Aiken Ave Ste Eg-01
Pittsburgh, PA 15232-1505

Mailing address

510 S Aiken Ave Ste Eg-01
Pittsburgh, PA 15232-1505
Phone (412) 683-1717

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address greycw@upmcdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240822000910 PA Practitioner - Physician Assistant 5193264125 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upmc Community Medicine IncGroup PAC ID 2062318975, 736 clinicians

Practice addresses (Care Compare)

510 S Aiken Ave
Suite Eg 01
Pittsburgh, PA 15232-1505
Phone (412) 683-1717

5230 Centre Ave
Pittsburgh, PA 15232-1304
Phone (412) 623-6889

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA065489PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Community Medicine Inc CurrentSince Aug 1, 2024 Accepting new patients
Upmc Community Medcine Inc CurrentSince Aug 1, 2024 Accepting new patients

Locations

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762

Interoperability endpoints

  • Direct secure messaging: caleb.w.grey@upmcdirect.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.

Hospital & facility affiliations 4

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": "1714435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1700632650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 S AIKEN AVE STE EG-01",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152321505",
            "telephone_number": "412-683-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 S AIKEN AVE STE EG-01",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152321505",
            "telephone_number": "412-683-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREY",
        "first_name": "CALEB",
        "middle_name": "WARD",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-30",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA065489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "greycw@upmcdirect.com",
            "affiliation": "N",
            "address_1": "510 S Aiken Ave Ste Eg-01",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152321505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.