Active NPI
Kristen David Gray, M.D.
- Family Medicine Physician
- Sanford, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME85090
- Practice address
- 401 Towne Center Blvd
Sanford, FL 32771-7407 - Phone
- (407) 200-0547
- NPI assigned
- Oct 17, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 80188 | CT | |
| Family Medicine Physician | 207Q00000X | ME85090 | FL | Primary |
Addresses
Primary practice location
401 Towne Center Blvd
Sanford, FL 32771-7407
Mailing address
401 Towne Center Blvd
Sanford, FL 32771-7407
Phone (407) 200-0547
Other practice location 1
7400 Docs Grove Cir
Orlando, FL 32819-8010
Phone (407) 352-9717
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 593339550 | Other | FL | TAX IDENTIFICATION NUMBER |
| 264274300 | Medicaid | FL | |
| K9529 | Other | FL | MEDICARE GROUP NUMBER |
| 592696120 | Other | FL | TAX IDENIFICATION |
| 593339550 | Other | FL | WINTER PARK FAMILY HEALTH CENTER, INC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2940 S US Hwy 1
Suite C11 Wellmed at Fort Pierce
Fort Pierce, FL 34982-8143
Phone (772) 466-6855
7400 Docs Grove Cir
Orlando, FL 32819-8010
Phone (407) 352-9717
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80188 | CT | MD | Family Medicine Physician |
| ME85090 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prohealth Physicians PC | Family Medicine | Current | Accepting new patients |
| Optumcare Florida LLC | Family Medicine | Past | Accepting new patients |
Locations
3 Farm Glen Blvd
Farmington, CT 06032
Phone (860) 284-5200
415 Killingworth Rd
Higganum, CT 06441
Phone (860) 345-4538
115 Spencer St
Winsted, CT 06098
Phone (860) 738-5810
Networks
- Freedom Health HMO Network
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.
-
- Family Medicine Physician
- Port St Lucie, FL
- NPI 1033395397
-
- Family Medicine Physician
- Farmington, CT
- NPI 1720194053
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Daytona Beach, FL
- NPI 1063426823
-
- General Acute Care Hospital
- Middletown, CT
- NPI 1760454334
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782691200000",
"number": "1861481517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 TOWNE CENTER BLVD",
"city": "SANFORD",
"state": "FL",
"postal_code": "327717407",
"telephone_number": "407-200-0547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 TOWNE CENTER BLVD",
"city": "SANFORD",
"state": "FL",
"postal_code": "327717407",
"telephone_number": "407-200-0547"
}
],
"practiceLocations": [
{
"address_1": "7400 Docs Grove Cir",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328198010",
"country_code": "US",
"telephone_number": "407-352-9717",
"fax_number": "407-354-5425",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRAY",
"first_name": "KRISTEN",
"middle_name": "DAVID",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-17",
"last_updated": "2026-06-29",
"certification_date": "2026-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CT",
"license": "80188",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME85090",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX IDENTIFICATION NUMBER",
"identifier": "593339550",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "264274300",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NUMBER",
"identifier": "K9529",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX IDENIFICATION",
"identifier": "592696120",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WINTER PARK FAMILY HEALTH CENTER, INC",
"identifier": "593339550",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sanford, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; 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.