DR. THERESA GRAY DPM
NPI 1386025377
Podiatrist - Foot & Ankle Surgery in Milwaukee, WI

Active since June 15, 2015PECOS EnrolledAccepts Medicare Assignment
3522 W LISBON AVE, MILWAUKEE, WI 53208(414) 935-8000(414) 344-3350 Get Directions Write a Review

NPPES record last updated: June 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 22, 2020, Mar 10, 2020, Sep 28, 2018 and 3 more (6 updates tracked since 2017).

About Dr. Theresa Gray Dpm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. THERESA GRAY DPM (NPI 1386025377) is an individual foot & ankle surgery provider in Milwaukee, Wisconsin, licensed in Wisconsin (1111-25) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Wauwatosa, and is a graduate of Kent State University College Of Podiatric Medicine (2015).

NPPES Registry Identity

NPI1386025377
Entity TypeIndividualFemale
Primary Taxonomy213ES0103X
Provider Legal NameDR. THERESA GRAYCredential: DPM
Location Address3522 W LISBON AVEMilwaukee, WI 53208-1953
Mailing Address3522 W Lisbon AveMilwaukee, WI 53208-1953 · (414) 935-8000 · Fax (414) 344-3149
Fax(414) 344-3350
Sole ProprietorNo
Medical School CMSKent State University College Of Podiatric MedicineGraduated 2015
Enumeration DateJune 15, 2015
Last NPPES UpdateJune 22, 20206 updates tracked since enumeration
NPPES CertifiedJune 22, 2020
✔ NPI 1386025377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in WI · 1111-25
Also ListedPodiatristTaxonomy 213E00000X · License 1111-25 (WI)
3522 W LISBON AVE, Milwaukee, WI 53208

Secondary Practice Location 1

Location 12525 N Mayfair Rd Ste 80Wauwatosa, WI 53226 · Phone (414) 326-9034

Other Identifiers 1

Medicaid100076793WI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Theresa Gray Dpm is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860756145
PECOS Enrollment IDI20180514003038
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Theresa Gray reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
3522 W LISBON AVE
Milwaukee, WI 53208
  • Reassigned Medicare billing, Wisconsin enrollment
  • 50 clinicians in this Medicare group
1.3 mi
Podiatric
1626 W FOND DU LAC AVE
Milwaukee, WI 53205
  • Reassigned Medicare billing, Wisconsin enrollment
  • 3 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
3522 W LISBON AVE
MILWAUKEE, WI 53208
Physician Assistant
3522 W LISBON AVE
MILWAUKEE, WI 53208
Social Worker (Clinical)
3522 W LISBON AVE
MILWAUKEE, WI 53208
Family Medicine
3522 W LISBON AVE
MILWAUKEE, WI 53208
Family Medicine
3522 W LISBON AVE
MILWAUKEE, WI 53208
Physician Assistant (Medical)
3522 W LISBON AVE
MILWAUKEE, WI 53208
Dental Hygienist
3522 W LISBON AVE
MILWAUKEE, WI 53208
Dentist
3522 W LISBON AVE
MILWAUKEE, WI 53208

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theresa Gray's NPI number?

The NPI number for Theresa Gray is 1386025377. It was assigned to this individual provider in the NPPES registry on June 15, 2015.

Where is Theresa Gray located?

Theresa Gray practices at 3522 W Lisbon Ave, Milwaukee, WI 53208. The listed phone number is (414) 935-8000.

What is Theresa Gray's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Theresa Gray enrolled in Medicare?

Yes. Theresa Gray is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Theresa Gray's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theresa Gray reassigns Medicare benefits to 2 organizations: Progressive Community Health Centers, Inc. (Milwaukee, WI) and Yomex LLC (Milwaukee, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Theresa Gray's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Theresa Gray accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Network Health, Quartz and UnitedHealthcare list Theresa Gray as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Theresa Gray was last updated on June 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.