Active NPI
William Knight Gray, MD
- Emergency Medicine Physician
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 14400
- Practice address
- 1120 S Utica Ave
Tulsa, OK 74104-4012 - Phone
- (918) 728-6194
- Fax
- (918) 664-2521
- NPI assigned
- Nov 4, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 14400 | OK | Primary |
Addresses
Primary practice location
1120 S Utica Ave
Tulsa, OK 74104-4012
Mailing address
4500 S Garnett Rd
Suite 919
Tulsa, OK 74146-5229
Phone (918) 728-6194
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100254130C | Medicaid | OK | |
| 930085461 | Other | OK | RAILROAD MEDICARE |
| P00360689 | Other | OK | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, KS, MO, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070108000088 | OK | Practitioner - Emergency Medicine | 6709852684 | Reassigns benefits to 3 organizations |
| I20150211000648 | KS | Practitioner - Emergency Medicine | 6709852684 | Reassigns benefits to 1 organization |
| I20181213001491 | MO | Practitioner - Emergency Medicine | 6709852684 | Reassigns benefits to 7 organizations |
| I20230704000153 | TX | Practitioner - Emergency Medicine | 6709852684 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Oklahoma College of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Green Country Emergency Physicians Group of Tulsa, PLLCCreek Nation Hospital and Clinics
Practice addresses (Care Compare)
100 Mercy Way
Mercy Clinic Emergency Medicine
Joplin, MO 64804-4524
Phone (417) 556-2300
10109 E 79TH St
Tulsa, OK 74133-4564
Phone (918) 756-4333
1202 N Muskogee PL
Claremore, OK 74017-3058
Phone (918) 341-2556
Hospital & facility affiliations
- Hillcrest Medical Center
- Council Oak Comprehensive Healthcare
- Hillcrest Hospital Pryor
- Hillcrest Hospital Claremore
- Hillcrest Hospital Henryetta
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1440 | OK | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Mercy Hospital Cassville | Current | Accepting new patients | |
| Mercy Hospital Cassville | Current | Accepting new patients | |
| Mercy Hospital Carthage | Emergency Medicine | Current | Accepting new patients |
| Green Country Emergency Physicians Group of Tulsa PLLC | Emergency Medicine | Current | Accepting new patients |
| Mercy Clinic Joplin LLC | Current | Accepting new patients | |
| Mercy Hospital Aurora | Current | Accepting new patients | |
| Mercy Hospital Aurora | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Mercy Clinic Oklahoma Communities | Current | Accepting new patients | |
| Southcrest Emergency Physicians PC | Past | Accepting new patients | |
| Ahs Claremore Regional Hospital, LLC. | Past | Accepting new patients | |
| Sterling Emergency Services of Oklahoma, Inc. | Emergency Medicine | Past | Accepting new patients |
| Ahs Oklahoma Physician Group LLC | Past | Accepting new patients | |
| Ahs Hillcrest Medical Center, LLC | Past | Accepting new patients | |
| Ahs Pryor Hospital, LLC | Past | Accepting new patients |
Locations
1400 W 4th St
Coffeyville, KS 67337
Phone (620) 251-1200
500 Porter Ave
Aurora, MO 65605
Phone (417) 678-2122
3125 Dr Russell Smith Way
Carthage, MO 64836
Phone (417) 358-8121
94 Main St
Cassville, MO 65625
Phone (417) 782-7722
100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300
430 N Monte Vista St
Ada, OK 74820
Phone (580) 226-1251
1011 14th Ave NW
Ardmore, OK 73401
Phone (580) 220-6658
1202 N Muskogee Pl
Claremore, OK 74017
Phone (918) 341-2556
1027 E Cherry St
Cushing, OK 74023
Phone (918) 225-2915
4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455
900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448
1401 Morris Dr
Okmulgee, OK 74447
Phone (918) 456-0641
10502 N 110th East Ave
Owasso, OK 74055
Phone (918) 376-8000
1125 E Cleveland Ave
Sapulpa, OK 74066
Phone (918) 224-9310
8801 S 101st East Ave
Tulsa, OK 74133
Phone (800) 965-4565
10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760
Dept 1038
Tulsa, OK 74182
1120 S Utica Ave
Tulsa, OK 74104
Phone (918) 579-6090
Dept 1467
Tulsa, OK 74182
Interoperability endpoints
- wgray119467@ahs.direct-ci.com
- https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4
Organizations & group practices 33
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.
-
- Emergency Medicine Physician
- Tulsa, OK
- NPI 1972698553
Emergency Medicine, KS, MO, OK
-
- Pharmacy
- Okemah, OK
- NPI 1033229992
-
- Ambulatory Surgical Clinic/Center
- Okemah, OK
- NPI 1104516871
-
- Pharmacy
- Okmulgee, OK
- NPI 1154430031
-
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Tulsa, OK
- NPI 1265004667
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Claremore, OK
- NPI 1023398807
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196899200000",
"number": "1891786000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 S GARNETT RD",
"address_2": "SUITE 919",
"city": "TULSA",
"state": "OK",
"postal_code": "741465229",
"telephone_number": "918-728-6194",
"fax_number": "918-664-2521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 S UTICA AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741044012",
"telephone_number": "918-728-6194",
"fax_number": "918-664-2521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "WILLIAM",
"middle_name": "KNIGHT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-04",
"last_updated": "2007-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OK",
"license": "14400",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100254130C",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "930085461",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00360689",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; 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.