Individual provider Active NPI

Andreal Ray Gray, PA

  • Physician Assistant
  • Butler, PA
National Provider Identifier
1770866238
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA055055 Issued in PA
Practice address
160 Hollywood Dr FL 2
Butler, PA 16001-5600
Phone
(724) 282-6175
Fax
(724) 482-1115
NPI assigned
Sep 21, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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 MA055055 PA Primary

Addresses

Primary practice location

160 Hollywood Dr FL 2
Butler, PA 16001-5600

Mailing address

247 Morewood Ave
Pittsburgh, PA 15213-1861
Phone (412) 622-0290

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address abowser102718@direct.ahn.org Direct

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
I20111020000297 PA Practitioner - Physician Assistant 6204008030 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
79.53 of 100Reported as group
Quality
73.42
Promoting interoperability
100
Improvement activities
40
Cost
47.86

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Associates PC Past Accepting new patients
Allegheny Clinic PastSince Jan 12, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: abowser102718@direct.ahn.org

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1770866238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 MOREWOOD AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152131861",
            "telephone_number": "412-622-0290",
            "fax_number": "412-681-7605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 HOLLYWOOD DR FL 2",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160015600",
            "telephone_number": "724-282-6175",
            "fax_number": "724-482-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "ANDREAL",
        "middle_name": "RAY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-21",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA055055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "abowser102718@direct.ahn.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "160 Hollywood Dr Fl 2",
            "city": "Butler",
            "state": "PA",
            "country_code": "US",
            "postal_code": "160015600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Butler, PA

Sources for this page

Verify at the official NPI Registry.