Individual provider Active NPI

Matthew L Gray, PHARMD, DO

  • Anesthesiology Physician
  • Greenwood Village, CO
National Provider Identifier
1922412170
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
DR.0061488 Issued in CO
Practice address
8000 E Maplewood Ave Ste 200
Greenwood Village, CO 80111-4727
Phone
(303) 785-4700
NPI assigned
Jun 16, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Anesthesiology Physician 207L00000X DR.0061488 CO Primary

Addresses

Primary practice location

8000 E Maplewood Ave Ste 200
Greenwood Village, CO 80111-4727

Mailing address

2145 N Williams St
Denver, CO 80205-5568
Phone (908) 528-0662

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, NV2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190905003165 CO Practitioner - Anesthesiology 4688970122 Reassigns benefits to 1 organization
I20220705001759 NV Practitioner - Anesthesiology 4688970122 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Rocky Vista University College of Osteopathic Med, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reno Tahoe Anesthesia Weaver PCGroup PAC ID 3971930256, 41 clinicians
Metcalf Tiller and Chen IncGroup PAC ID 5698093086, 32 clinicians

Practice addresses (Care Compare)

18653 Wedge Pkwy
Suite 170
Reno, NV 89511-3037
Phone (775) 674-5200

235 W 6TH St
Reno, NV 89503-4548
Phone (775) 770-3000

Hospital & facility affiliations

  • Northern Nevada Medical Center Hospital, Sparks, NV, CCN 290032
  • Saint Mary'S Regional Medical Center Hospital, Reno, NV, CCN 290009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Pharmacy

Practice roles

OrganizationSpecialtyStatusNew patients
Boulder Valley Anesthesiology, PLLC Anesthesiology CurrentSince Mar 8, 2021 Accepting new patients
Metcalf, Tiller & Chen, Inc. Anesthesiology CurrentSince Jun 21, 2022 Accepting new patients
Reno Tahoe Anesthesia Weaver PC Anesthesiology CurrentSince Jun 21, 2022 Accepting new patients

Locations

1801 W Olympic Blvd
#2152
Pasadena, CA 91199

4747 Arapahoe Ave
Boulder, CO 80303
Phone (303) 415-7000

1100 Balsam Ave
Boulder, CO 80304
Phone (303) 415-7000

10170 Church Ranch Way
Westminster, CO 80021
Phone (303) 328-3400

3475 Gs Richards Blvd
#110
Carson City, NV 89703
Phone (775) 841-2000

6500 Longley Ln
Reno, NV 89511
Phone (775) 331-7000

10463 Double R Blvd
Ste 200
Reno, NV 89521
Phone (775) 562-2121

411 W 6th St
Reno, NV 89503
Phone (775) 770-3209

235 W 6th St
Reno, NV 89503
Phone (775) 746-3202

2285 Green Vista Dr
Sparks, NV 89431
Phone (775) 355-1100

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 9

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": "1402876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1922412170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2145 N WILLIAMS ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802055568",
            "telephone_number": "908-528-0662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 E MAPLEWOOD AVE STE 200",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801114727",
            "telephone_number": "303-785-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "MATTHEW",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PHARMD, DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-16",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CO",
            "license": "DR.0061488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

Verify at the official NPI Registry.