MS. TEDRA DUANA GRAY N.P.
NPI 1659358760
Nurse Practitioner - Acute Care in Chicago, IL
About Ms. Tedra Duana Gray N.p. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. TEDRA DUANA GRAY N.P. (NPI 1659358760) is an individual acute care provider in Chicago, Illinois, licensed in Illinois (309-002757) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, is affiliated with Mt Sinai Hospital Medical Center, and is a graduate of Other (2004).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ms. Tedra Duana Gray N.p. 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.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mt Sinai Hospital Medical Center
Acute Care Hospitals · Chicago, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60608 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
CHICAGO, IL 60608
CHICAGO, IL 60608
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 Tedra Gray's NPI number?
The NPI number for Tedra Gray is 1659358760. It was assigned to this individual provider in the NPPES registry on December 29, 2005.
Where is Tedra Gray located?
Tedra Gray practices at 1501 S California Ave, Chicago, IL 60608. The listed phone number is (773) 257-2905.
What is Tedra Gray's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Tedra Gray enrolled in Medicare?
Yes. Tedra 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.
Is Tedra Gray affiliated with any hospitals?
According to CMS data, Tedra Gray is affiliated with Mt Sinai Hospital Medical Center.
When was this NPI record last updated?
The NPPES record for Tedra Gray was last updated on April 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Ms. Tedra Duana Gray, N.P. · NPI 1659358760
Acute Care physician in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since December 29, 2005.
## Identity
- **NPI:** 1659358760 (Entity type: Individual)
- **Enumerated:** December 29, 2005
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 309-002757 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1501 S CALIFORNIA AVE, Chicago, IL 60608-1732
- **Phone:** (773) 257-2905
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2004
## Record status
- **NPPES last updated:** April 26, 2016
- **Other identifiers:** Medicare PIN 367830071 (IL); Medicaid 041323476-2 (IL); Medicare UPIN Q58483 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1659358760) · Data from the CMS NPPES public registry.