Active NPI
Jennifer M Gray, DO
- Hospitalist Physician
- Iowa City, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- DO-06261
- Practice address
- 200 Hawkins Dr
Iowa City, IA 52242-1009 - Phone
- (319) 356-4019
- Fax
- (319) 353-8073
- NPI assigned
- Jun 22, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 72768 | CT | |
| Internal Medicine Physician | 207R00000X | 5151012737 | MI | |
| Internal Medicine Physician | 207R00000X | DO-06261 | IA | |
| Hospitalist Physician | 208M00000X | DO-06261 | IA | Primary |
Addresses
Primary practice location
200 Hawkins Dr
Iowa City, IA 52242-1009
Mailing address
200 Sand Creek Hwy
Adrian, MI 49221-1255
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
888 S King St
Honolulu, HI 96813-3097
Phone (808) 522-4000
Hospital & facility affiliations
- Straub Clinic and Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5151012737 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Straub Clinic & Hospital | Current | Accepting new patients | |
| Straub Clinic & Hospital | Current | Accepting new patients | |
| NW Ohio Hospital Medicine Physicians LLC | Current | Accepting new patients | |
| Straub Clinic & Hospital | Past | Accepting new patients | |
| Bloomfield Hills SNF LLC | Past | Accepting new patients |
Locations
888 S King St
Honolulu, HI 96813
Phone (808) 522-4000
950 W Wooster St
Bowling Green, OH 43402
Phone (419) 354-8900
1900 S Main St
Findlay, OH 45840
Phone (419) 423-4500
Interoperability endpoints
- jennifer.nihei@xdr.hhchealthdirect.org
- jnihei1248938@epic00.corewelldirect.org
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Honolulu, HI
- NPI 1457306508
-
- Emergency Medicine Physician
- Findlay, OH
- NPI 1023794377
-
- Community/Retail Pharmacy
- Honolulu, HI
- NPI 1295443216
-
- Skilled Nursing Facility
- Bloomfield Hills, MI
- NPI 1306335930
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1720031701
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1720031701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709683200000",
"number": "1740775790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 SAND CREEK HWY",
"city": "ADRIAN",
"state": "MI",
"postal_code": "492211255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HAWKINS DR",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522421009",
"telephone_number": "319-356-4019",
"fax_number": "319-353-8073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "JENNIFER",
"middle_name": "M",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-22",
"last_updated": "2024-03-06",
"certification_date": "2024-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "72768",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "5151012737",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IA",
"license": "DO-06261",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IA",
"license": "DO-06261",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.