Individual provider Active NPI

Trent Garret Gray, MD

  • Anesthesiology Physician
  • Indianapolis, IN
National Provider Identifier
1730524893
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
01076127A Issued in IN
Practice address
1001 W 10TH St
West Pavilion M200
Indianapolis, IN 46202-2859
Phone
(317) 656-4260
NPI assigned
May 2, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 11017086A IN
Anesthesiology Physician 207L00000X 01076127A IN Primary

Addresses

Primary practice location

1001 W 10TH St
West Pavilion M200
Indianapolis, IN 46202-2859

Mailing address

9727 Innisbrook Blvd
Carmel, IN 46032-9270
Phone (812) 599-1007

Other identifiers 1

IdentifierTypeStateIssuer
000001213544OtherINANTHEM PTAN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address TGRAY@DIRECT.IUHEALTH.ORG Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20160229001915 IN Practitioner - Anesthesiology 7719111095 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Indiana University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians

Practice addresses (Care Compare)

1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258

Hospital & facility affiliations

  • Eskenazi Health Hospital, Indianapolis, IN, CCN 150024

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01076127AINMDAnesthesiology Physician
11017086AINMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iu Health Medical Group, LLC CurrentSince Jan 1, 2025 Accepting new patients
Community Anesthesia Associates, PC Anesthesiology CurrentSince Jun 15, 2017 Accepting new patients
Wishard Anesthesia Group, LLC Anesthesiology CurrentSince Oct 25, 2018 Accepting new patients

Locations

1001 W 10th St
Indianapolis, IN 46202
Phone (317) 630-6175

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

8040 Clearvista Pkwy
Indianapolis, IN 46256
Phone (317) 254-5740

720 Eskenazi Ave
Indianapolis, IN 46202
Phone (317) 880-0000

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

1700 W 10th St
Indianapolis, IN 46222
Phone (317) 397-1718

Interoperability endpoints

  • Direct secure messaging: tgray@direct.iuhealth.org
  • Direct secure messaging: tgray14436@direct.eskenazihealth.edu

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 2

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": "1367452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1730524893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9727 INNISBROOK BLVD",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460329270",
            "telephone_number": "812-599-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W 10TH ST",
            "address_2": "WEST PAVILION M200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462022859",
            "telephone_number": "317-656-4260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "TRENT",
        "middle_name": "GARRET",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-02",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "11017086A",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01076127A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PTAN",
            "identifier": "000001213544",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "TGRAY@DIRECT.IUHEALTH.ORG",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1001 W 10th St",
            "address_2": "West Pavilion M200",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462022859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.