Ethan Grey, DO
NPI 1053013599 · Student in an Organized Health Care Education/Training Program · Fort Lauderdale, FL
Enrolled with Medicare as Order and Referring Only - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ethan Grey, DO is a Student in an Organized Health Care Education/Training Program provider in Fort Lauderdale, FL (NPI 1053013599).
Provider details
- NPI number
- 1053013599
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- R4216 (FL)
Specialties & taxonomies
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 201 E Sample RdDeerfield Beach, FL 33064-3502Phone: (954) 941-8300
Registry dates
- Enumerated
- 2023-03-20
- Last updated
- 2026-04-22
- Certified
- 2026-04-22
Frequently asked questions
- What is Ethan Grey's NPI number?
- Ethan Grey's National Provider Identifier (NPI) is 1053013599, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ethan Grey's specialty?
- Ethan Grey is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Ethan Grey located?
- Ethan Grey's practice location on file with NPPES is 1600 S Andrews Ave, Fort Lauderdale, FL 33316-2510.
- What is Ethan Grey's phone number?
- The practice phone number listed in the NPPES registry for Ethan Grey is (954) 355-4400.
- Does Ethan Grey accept Medicare?
- Ethan Grey is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ethan Grey's NPI active?
- Yes — Ethan Grey's NPI (1053013599) is active in the NPPES registry as of the last update on 2026-04-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.