NPIMap

Individual provider Active NPI

John Merle Gray, M.D.

  • Family Medicine Physician
  • Snoqualmie, WA
National Provider Identifier
1770663759
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00030113 Issued in WA
Practice address
7713 Center Blvd SE Ste 160
Snoqualmie, WA 98065-6309
Phone
(425) 292-3347
NPI assigned
Oct 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 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 MD00030113 WA Primary

Addresses

Primary practice location

7713 Center Blvd SE Ste 160
Snoqualmie, WA 98065-6309

Mailing address

7713 Center Blvd SE Ste 160
Snoqualmie, WA 98065-6309
Phone (425) 292-3347

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20040406001720 WA Practitioner - Family Practice 6507750106 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Washington School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Select Outpatient Services IncGroup PAC ID 4082868815, 750 clinicians
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

2600 Compass Rd
Glenview, IL 60026-8001

7713 Ctr Blvd SE
Suite 160
Snoqualmie, WA 98065-6309
Phone (425) 292-3347

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.74 of 100Reported as group
Quality
78.83
Promoting interoperability
100
Improvement activities
40
Cost
66.97

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions24
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
MD00030113WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John M. Gray, MD, PLLC Family Medicine CurrentSince Sep 15, 2022 Accepting new patients
Spanaway General Medical Clinic Past Accepting new patients
Public Hospital District No 4, King County Wa Family Medicine Past Accepting new patients
Franciscan Medical Group Family Medicine PastSince May 19, 2024 Accepting new patients
South Hill General Medical Clinic PastSince Oct 10, 2015 Accepting new patients

Locations

7713 Center Blvd SE
Ste 160
Snoqualmie, WA 98065
Phone (425) 292-3347

Interoperability endpoints

  • Direct secure messaging: john.gray@517009490182148.direct.elationemr.com

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 5

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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1770663759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7713 CENTER BLVD SE STE 160",
            "city": "SNOQUALMIE",
            "state": "WA",
            "postal_code": "980656309",
            "telephone_number": "425-292-3347",
            "fax_number": "425-738-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7713 CENTER BLVD SE STE 160",
            "city": "SNOQUALMIE",
            "state": "WA",
            "postal_code": "980656309",
            "telephone_number": "425-292-3347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "JOHN",
        "middle_name": "MERLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00030113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snoqualmie, WA

Sources for this page

Verify at the official NPI Registry.