Active NPI
Kathryn Johnson Gray, MD, PHD
- Maternal & Fetal Medicine Physician
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- MD61425018
- Practice address
- 1959 NE Pacific St.
Seattle, WA 98195-0001 - Phone
- (206) 520-5000
- NPI assigned
- Jan 19, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD61425018 | WA | |
| Maternal & Fetal Medicine Physician | 207VM0101X | MD61425018 | WA | Primary |
Addresses
Primary practice location
1959 NE Pacific St.
Seattle, WA 98195-0001
Mailing address
PO Box 50095
Seattle, WA 98145-5095
Other names 1
- Dr. Kathryn Johnson Groendyke
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD61425018 | WA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Association of University Physicians | Obstetrics & Gynecology | Current | Accepting new patients |
| Mass General Brigham Medical Group Suburban Massachusetts Inc | Current | Accepting new patients | |
| Brigham and Women's Hospital | Current | Accepting new patients | |
| Seattle Children's Hospital | Current | Accepting new patients | |
| Seattle Childrens Hospital | Current | Accepting new patients | |
| CHMC Surgical Foundation Inc | Current | Accepting new patients | |
| Brigham & Womens Physicians Organization Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Emerson Practice Associates, Inc. | Current | Accepting new patients | |
| Brigham and Womens Physicians Organization Inc | Obstetrics & Gynecology | Past | Accepting new patients |
| Seattle Children's Hospital | Past | Accepting new patients | |
| University of Washington | Past | Accepting new patients |
Locations
300 Longwood Ave
Boston, MA 02115
Phone (617) 355-4956
75 Francis St
Boston, MA 02115
375 Boylston St
Brookline, MA 02445
Phone (508) 718-4010
850 Boylston St
Chestnut Hill, MA 02467
Phone (617) 732-5773
133 Ornac
Concord, MA 01742
Phone (978) 287-3000
2014 Washington St
Newtonville, MA 02462
Phone (617) 243-6000
1035 116th Ave NE
Bellevue, WA 98004
Phone (425) 451-4141
8232 W Grandridge Blvd
Kennewick, WA 99336
Phone (509) 582-1700
4800 Sand Point Way NE
Seattle, WA 98105
Phone (206) 526-2000
1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333
1959 NE Pacific St
Fl 3
Seattle, WA 98195
Phone (206) 543-8981
1780 NW Myhre Rd
Ste 2120
Silverdale, WA 98383
Phone (360) 782-3100
Interoperability endpoints
- gray.kathryn.bwh@direct.partners.masshiway.net
- kgray1610764@direct.ehre.uwmedicine.org
Organizations & group practices 11
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.
-
- Specialist
- Seattle, WA
- NPI 1003319500
-
dba University of Washington Physicians
- Anesthesiology Physician
- Seattle, WA
- NPI 1023041159
Obstetrics & Gynecology
-
- Internal Medicine Physician
- Boston, MA
- NPI 1033535497
Obstetrics & Gynecology
-
- Pediatric Surgery Physician
- Boston, MA
- NPI 1902977515
-
- Internal Medicine Physician
- Concord, MA
- NPI 1508020199
-
- Family Medicine Physician
- Newton, MA
- NPI 1538191218
-
dba Seattle Childrens Outpatient Pharmacy
- Clinic Pharmacy
- Seattle, WA
- NPI 1245342153
-
- General Acute Care Hospital
- Boston, MA
- NPI 1093885816
-
- Home Infusion Agency
- Bothell, WA
- NPI 1245383348
-
dba University of Washington Medical Center
- General Acute Care Hospital
- Seattle, WA
- NPI 1326002049
-
dba dba Dept of OB/Gyn
- Obstetrics & Gynecology Physician
- Boston, MA
- NPI 1306864830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695600000000",
"number": "1932385978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 50095",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981455095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1959 NE PACIFIC ST.",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981950001",
"telephone_number": "206-520-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "KATHRYN",
"middle_name": "JOHNSON",
"name_prefix": "Dr.",
"credential": "MD, PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-19",
"last_updated": "2023-09-25",
"certification_date": "2023-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "WA",
"license": "MD61425018",
"primary": false
},
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "WA",
"license": "MD61425018",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHRYN",
"last_name": "GROENDYKE",
"middle_name": "JOHNSON",
"prefix": "DR.",
"credential": "MD, PHD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.