Keith a Gray MD PA
NPI 1720090749 · Internal Medicine Physician · Orlando, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Keith a Gray MD PA is a Internal Medicine Physician organization in Orlando, FL (NPI 1720090749).
Provider details
- NPI number
- 1720090749
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Wisteria Wyche, Office Manager(407) 839-5063
- License
- ME41485 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2006-08-12
- Last updated
- 2011-04-20
Frequently asked questions
- What is Keith a Gray MD PA's NPI number?
- Keith a Gray MD PA's National Provider Identifier (NPI) is 1720090749, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Keith a Gray MD PA?
- Keith a Gray MD PA is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Keith a Gray MD PA located?
- Keith a Gray MD PA's practice location on file with NPPES is 100 W Gore St, Orlando, FL 32806-1044.
- What is Keith a Gray MD PA's phone number?
- The practice phone number listed in the NPPES registry for Keith a Gray MD PA is (407) 423-9920.
- Does Keith a Gray MD PA accept Medicare?
- Keith a Gray MD PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Keith a Gray MD PA?
- The authorized official listed on Keith a Gray MD PA's NPPES record is Wisteria Wyche, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Keith a Gray MD PA's NPI active?
- Yes — Keith a Gray MD PA's NPI (1720090749) is active in the NPPES registry as of the last update on 2011-04-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.