SAMUEL GRAY
NPI 1710447859
Counselor in Seabrook, NH
About Samuel Gray NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMUEL GRAY (NPI 1710447859) is an individual counselor in Seabrook, New Hampshire and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Samuel Gray 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.
Medicare Billing Reassignments
2Medicare enrollment records show Samuel Gray reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Boston, MA 02118
- Reassigned Medicare billing, Massachusetts enrollment
- Medicare enrollment name: Bostons Community Medical Group Inc
- 50 clinicians in this Medicare group
Boston, MA 02118
- Reassigned Medicare billing, Massachusetts enrollment
- 49 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 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SEABROOK, NH 03874
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 Samuel Gray's NPI number?
The NPI number for Samuel Gray is 1710447859. It was assigned to this individual provider in the NPPES registry on March 24, 2019.
Where is Samuel Gray located?
Samuel Gray practices at 867 Lafayette Rd, Seabrook, NH 03874. The listed phone number is (603) 686-9884.
What is Samuel Gray's specialty?
The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.
Is Samuel Gray enrolled in Medicare?
Yes. Samuel 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 Samuel Gray's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Gray reassigns Medicare benefits to 2 organizations: Boston's Community Medical Group, Inc. (Boston, MA) and Commonwealth Clinical Alliance, Inc (Boston, MA). 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 Samuel Gray's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Samuel Gray was last updated on June 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Samuel Gray · NPI 1710447859
Counselor provider in Seabrook, New Hampshire. Individual provider, active in the CMS NPPES registry since March 24, 2019.
## Identity
- **NPI:** 1710447859 (Entity type: Individual)
- **Enumerated:** March 24, 2019
- **Primary specialty:** Counselor · taxonomy 101Y00000X
- **Sole proprietor:** No
## Practice location
- **Address:** 867 LAFAYETTE RD, Seabrook, NH 03874-4217
- **Phone:** (603) 686-9884
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Boston's Community Medical Group, Inc. (NPI 1235174418, Boston, MA); Commonwealth Clinical Alliance, Inc (NPI 1679605091, Boston, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** June 11, 2019
- **Other identifiers:** Medicaid 61201861237 (NH)
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Source: [NPI Profile](https://npiprofile.com/npi/1710447859) · Data from the CMS NPPES public registry.