NPIMap

Individual provider Active NPI

Daniel Paul Gray, M.D.

  • Family Medicine Physician
  • Fredericksburg, VA
National Provider Identifier
1811166366
Registry record updated Aug 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101247115 Issued in VA
Practice address
12101 Carol LN
Fredericksburg, VA 22407-6101
Phone
(540) 785-7810
Fax
(540) 786-3099
NPI assigned
Feb 28, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MT190089 PA
Family Medicine Physician 207Q00000X 0101247115 VA Primary

Addresses

Primary practice location

12101 Carol LN
Fredericksburg, VA 22407-6101

Mailing address

PO Box 1460
Fredericksburg, VA 22402-1460
Phone (540) 786-2100

Other identifiers 1

IdentifierTypeStateIssuer
1811166366MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20110412000741 VA Practitioner - Family Practice 6800922279 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Virginia School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Spotsylvania Multi-Specialty Group, LLCGroup PAC ID 1153455514, 8 clinicians

Practice addresses (Care Compare)

4701 Spotsylvania Pkwy
Suite 200
Fredericksburg, VA 22407-9435
Phone (540) 834-5440

Hospital & facility affiliations

  • Mary Washington Home Health Agency Home health agency, Fredericksburg, VA, CCN 497272
  • Amedisys Home Health Home health agency, Midlothian, VA, CCN 497538
  • At Home Care Home health agency, Mechanicsvlle, VA, CCN 497493
  • Spotsylvania Regional Medical Center Hospital, Fredericksburg, VA, CCN 490141
  • Mary Washington Hospital Hospital, Fredericksburg, VA, CCN 490022

Merit-based Incentive Payment System (MIPS)

Final score
90.98 of 100Reported as individual
Quality
92.14
Improvement activities
40
Cost
80.42

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MT190089PAMDFamily Medicine Physician
0101247115VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Richmond Multi-Specialty, LLC CurrentSince Oct 16, 2019 Accepting new patients
Spotsylvania Multi-Specialty Group, LLC Family Medicine CurrentSince Dec 1, 2021 Accepting new patients
Lewis Plastic Surgery, PC Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

4600 Spotsylvania Pkwy
Fredericksburg, VA 22408
Phone (540) 498-4000

4604 Spotsylvania Pkwy
Ste 200
Fredericksburg, VA 22408
Phone (540) 358-5000

4701 Spotsylvania Pkwy
Ste 200
Fredericksburg, VA 22407
Phone (540) 834-5420

1451 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 267-6009

Interoperability endpoints

  • Direct secure messaging: daniel.gray@hca6.eclinicaldirectplus.com

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 11

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": "1204156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344384000000",
    "number": "1811166366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1460",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224021460",
            "telephone_number": "540-786-2100",
            "fax_number": "540-786-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12101 CAROL LN",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224076101",
            "telephone_number": "540-785-7810",
            "fax_number": "540-786-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "DANIEL",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-28",
        "last_updated": "2012-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MT190089",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101247115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811166366",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.