MS. TEDRA DUANA GRAY (N.P.) – Acute Care Nurse Practitioner, NPI 1659358760
Acute Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,637 NURSE PRACTITIONER in IL
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Provider Addresses for MS. TEDRA DUANA GRAY (N.P.)
South California Avenue, Brighton Park, Chicago, Cook County, Illinois, 60629, United States
CHICAGO, IL 606081732
Phone: (773) 257-2905
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 162 Open Payments records for all available years, with a total value of $31,146.
Total Amount is formed as General ($31,146) + Research ($0) + Ownership ($0) = $31,146.
Last reported payment date: 2024-12-26 • Largest payer in this snapshot: Phathom Pharmaceuticals, Inc. ($13,379).
Total Amount
$31,146
General + Research + Ownership
Payments
162
Total payment records
General Amount
$31,146
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Phathom Pharmaceuticals, Inc. | $13,379 |
| Ardelyx, Inc. | $5,695 |
| Evoke Pharma, Inc. | $4,470 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | $3,699 |
| Regeneron Healthcare Solutions, Inc. | $1,354 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-12-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20051214000289 | I | Nurse Practitioner | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60608)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology), Internal Medicine | IL | |
| Diagnostic Radiology, Interventional Radiology | IL | |
| Radiation Oncology, Diagnostic Radiology | IL | |
| Hematology/Oncology, Internal Medicine | IL | |
| Endocrinology, Internal Medicine | IL | |
| Internal Medicine | IL | |
| Internal Medicine, Sleep Medicine | IL | |
| - | IL | |
| P A T H O L O G Y | IL | |
| General Surgery, Colorectal Surgery (Proctology) | IL |
Reviews
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