Active NPI
Jennifer Lynn Gray, M.D.
- Hospitalist Physician
- Denver, CO
National Provider Identifier
1841494465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 01069712A
- Practice address
- 835 E 18TH Ave Ste 110
Denver, CO 80218 - Phone
- (303) 825-4646
- Fax
- (303) 825-3215
- NPI assigned
- Jun 14, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 01069712A | IN | Primary |
| Internal Medicine Physician | 207R00000X | 01069712A | IN | |
| Internal Medicine Physician | 207R00000X | DR.0053894 | CO |
Addresses
Primary practice location
835 E 18TH Ave Ste 110
Denver, CO 80218
Mailing address
835 E 18TH Ave Ste 110
Denver, CO 80218-1024
Phone (303) 825-4646
Other practice location 1
14300 Orchard Pkwy
Westminster, CO 80023-9206
Phone (720) 627-4200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201027670 | Medicaid | IN |
Other names 1
- Jennifer Lynn Koval
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jun 9, 2025 through Jun 9, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01069712A | IN | MD | Hospitalist Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665360000000",
"number": "1841494465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "835 E 18TH AVE STE 110",
"city": "DENVER",
"state": "CO",
"postal_code": "802181024",
"telephone_number": "303-825-4646",
"fax_number": "303-825-3215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "835 E 18TH AVE STE 110",
"city": "DENVER",
"state": "CO",
"postal_code": "80218",
"telephone_number": "303-825-4646",
"fax_number": "303-825-3215"
}
],
"practiceLocations": [
{
"address_1": "14300 Orchard Pkwy",
"address_purpose": "LOCATION",
"city": "Westminster",
"state": "CO",
"postal_code": "800239206",
"country_code": "US",
"telephone_number": "720-627-4200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRAY",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-14",
"last_updated": "2022-10-10",
"certification_date": "2022-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IN",
"license": "01069712A",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01069712A",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CO",
"license": "DR.0053894",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201027670",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "KOVAL",
"middle_name": "LYNN",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.