NPIMap

Individual provider Active NPI

Oscar Tally Gray, MD

  • Family Medicine Physician
  • Carmel, CA
National Provider Identifier
1710993985
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A73475 Issued in CA
Practice address
27880 Dorris Dr
Ste 100
Carmel, CA 93923-8581
Phone
(831) 626-4469
Fax
(831) 626-6041
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A73475 CA Primary

Addresses

Primary practice location

27880 Dorris Dr
Ste 100
Carmel, CA 93923-8581

Mailing address

27880 Dorris Dr
Ste 100
Carmel, CA 93923-8581
Phone (831) 626-4469

Other identifiers 1

IdentifierTypeStateIssuer
A73475OtherCAMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060317000307 CA Practitioner - Family Practice 1355358235 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, Davis School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carmel Valley Medical Clinic, IncGroup PAC ID 8729986583, 2 clinicians

Practice addresses (Care Compare)

27880 Dorris Dr
Suite 100
Carmel, CA 93923-8581
Phone (831) 626-4469

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
19.13 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
63.77

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A73475CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carmel Valley Medical Clinic, Inc Family Medicine CurrentSince Mar 20, 2006 Accepting new patients
Community Hospital of the Monterey Peninsula PastSince Mar 20, 2006 Accepting new patients

Locations

27880 Dorris Dr
Ste 100
Carmel, CA 93923
Phone (831) 626-4469

Organizations & group practices 2

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 7

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1710993985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27880 DORRIS DR",
            "address_2": "STE 100",
            "city": "CARMEL",
            "state": "CA",
            "postal_code": "939238581",
            "telephone_number": "831-626-4469",
            "fax_number": "831-626-6041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27880 DORRIS DR",
            "address_2": "STE 100",
            "city": "CARMEL",
            "state": "CA",
            "postal_code": "939238581",
            "telephone_number": "831-626-4469",
            "fax_number": "831-626-6041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "OSCAR",
        "middle_name": "TALLY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A73475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A73475",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, CA

Sources for this page

Verify at the official NPI Registry.