Individual provider Active NPI

Sanjiv Fitz-Morris Gray, M.D.

  • Surgical Critical Care Physician
  • Sanford, FL
National Provider Identifier
1992930499
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Critical Care PhysicianTaxonomy code 2086S0102X
License
ME121713 Issued in FL
Practice address
305 N Mangoustine Ave Ste 100B
Sanford, FL 32771-1004
Phone
(407) 323-7821
NPI assigned
May 28, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Critical Care Physician 2086S0102X ME121713 FL Primary
Surgical Critical Care Physician 2086S0102X 280652 NY
Physician Nutrition Specialist (Surgery) 2086P0122X ME121713 FL
Obesity Medicine (Internal Medicine) Physician 207RB0002X ME121713 FL
Neurocritical Care Physician 2084A2900X ME121713 FL

Addresses

Primary practice location

305 N Mangoustine Ave Ste 100B
Sanford, FL 32771-1004

Mailing address

305 N Mangoustine Ave Ste 100B
Sanford, FL 32771-1004
Phone (407) 323-7821

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 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
I20150930002533 NY Practitioner - General Surgery 0840508404 Reassigns benefits to 1 organization
I20161026002706 FL Practitioner - General SurgeryPractitioner - NeurosurgeryPractitioner - Critical Care (Intensivists) 0840508404 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Critical Care (Intensivists), Neurosurgery
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakeland Regional Health Systems IncGroup PAC ID 8325952914, 513 clinicians
Florida Trauma Services LLCGroup PAC ID 3971985938, 92 clinicians

Practice addresses (Care Compare)

1324 Lakeland Hill Blvd
Lakeland, FL 33805-4543
Phone (863) 687-1248

3030 Harden Blvd
Lakeland, FL 33803-7952
Phone (863) 284-5000

305 N Mangoustine Ave
Suite 100
Sanford, FL 32771-1004
Phone (407) 323-7821

320 Parkview PL
Lakeland, FL 33805-4538
Phone (863) 687-1133

3525 Lakeland Hills Blvd
Lakeland, FL 33805-1965
Phone (863) 603-6565

Attn Managed Care
1324 Lakeland HLLS Blvd
Lakeland, FL 33805-4543

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME121713FLMDSurgical Critical Care Physician
280652NYMDSurgical Critical Care Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Harlem Medical Associates PC CurrentSince Jul 1, 2015 Accepting new patients
Lakeland Regional Health Systems, Inc. Surgical Critical Care CurrentSince Aug 1, 2018 Accepting new patients
Lakeland Regional Medical Center, Inc. Past Accepting new patients

Locations

320 Parkview Pl
Lakeland, FL 33805
Phone (863) 687-1300

3525 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 603-6565

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

3030 Harden Blvd
Lakeland, FL 33803
Phone (863) 687-1222

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

45 Research Way
Ste 206
Setauket, NY 11733
Phone (631) 575-9300

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 4

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 4

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": "1243468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1992930499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 N MANGOUSTINE AVE STE 100B",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327711004",
            "telephone_number": "407-323-7821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 N MANGOUSTINE AVE STE 100B",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327711004",
            "telephone_number": "407-323-7821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "SANJIV",
        "middle_name": "FITZ-MORRIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-28",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "FL",
            "license": "ME121713",
            "primary": true
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "NY",
            "license": "280652",
            "primary": false
        },
        {
            "code": "2086P0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Physician Nutrition Specialist",
            "state": "FL",
            "license": "ME121713",
            "primary": false
        },
        {
            "code": "207RB0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": "FL",
            "license": "ME121713",
            "primary": false
        },
        {
            "code": "2084A2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurocritical Care",
            "state": "FL",
            "license": "ME121713",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, FL

Sources for this page

Verify at the official NPI Registry.