KERIANN NICKOLA GRAY (M.D.) – Hematology & Oncology Physician, NPI 1023215670

KERIANN NICKOLA GRAY (M.D.) is a healthcare provider. based in Troy, New York. specializing in HEMATOLOGY, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. MD456589 (PA). The NPI Number for KERIANN NICKOLA GRAY (M.D.) is 1023215670

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
KERIANN NICKOLA GRAY (M.D.)
NPI
1023215670
Phone
(518) 268-5060
Address
1300 Massachusetts Ave
Enumeration Date
28 June 2007
Last Update Date
21 May 2021

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Secondary Phone
5185256418
Graduation Year
2004 (22 years ago)
PAC ID
3577750561
Group Practice PAC ID
2668460072
Professional Enrollment ID
I20101202000947
Address ID
NY122083909AL317XXBLVD401

Contacts

Secure Messaging
payer.credentialing@sphp.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness85
Years active:18State licenses:2Other namesUpdated within 12 months

381 HEMATOLOGY in NY

Provider Addresses for KERIANN NICKOLA GRAY (M.D.)

  • 1300 Massachusetts Ave

    Troy, NY 121801628

    Phone: (518) 268-5060

    Type: Location

  • 317 S Manning Blvd Ste 220

    Albany, NY 122083909

    Phone: (518) 525-6418

    Type: Location

  • 1 Tallow Wood Dr

    Clifton Park, NY 120652807

    Phone: (518) 268-5060

    Type: Location

  • Geisinger Medical Center Danville, 100, North Academy Avenue, Danville, Montour County, Pennsylvania, 17822, United States

    DANVILLE, PA 178224903

    Phone: (570) 271-6144

    Type: Mailing

  • PO BOX 14890

    ALBANY, NY 122124890

    Phone: (518) 525-5634

    Fax: (518) 649-4094

    Type: Mailing

  • Caresite, 200, Scenery Drive, Canterbury Crossing, Scenery Park, College Township, Centre County, Pennsylvania, 16801, United States

    STATE COLLEGE, PA 168015602

    Phone: (814) 231-4560

    Fax: (814) 231-6246

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $278.

Total Amount is formed as General ($278) + Research ($0) + Ownership ($0) = $278.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($67).

Total Amount

$278

General + Research + Ownership

Payments

13

Total payment records

General Amount

$278

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2016-01-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101202000947IHematologyNYTBD
I20160104000833IInternal MedicinePATBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes306131$0
99213Established patient office or other outpatient visit, 20-29 minutes11764$0
99215Established patient office or other outpatient visit, 40-54 minutes4435$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2914$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2424$0
View full utilization report →

Insurance plans in this area (ZIP 12180)

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Provider's Procedures

KERIANN NICKOLA GRAY (M.D.) performs procedures in HEMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEPA96367Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour7018

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2668460072View full group profile
NameSpecialtyState
Internal MedicineNY
-NY
Internal MedicineNY
Internal Medicine, HospitalistCT
Internal MedicineNY
-NY
N E U R O L O G YNY
Internal MedicineNY
Orthopedic SurgeryNY
-NY

Reviews

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Frequently asked questions

What NPI should I save for KERIANN NICKOLA GRAY (M.D.)?
Save NPI 1023215670 if you need a stable reference for KERIANN NICKOLA GRAY (M.D.).
Is KERIANN NICKOLA GRAY (M.D.)'s NPI currently valid?
The extract we use shows KERIANN NICKOLA GRAY (M.D.) as active.
What field does KERIANN NICKOLA GRAY (M.D.) work in?
You can think of KERIANN NICKOLA GRAY (M.D.) as practicing within Hematology & Oncology Physician. Clinical services aligned with this taxonomy classification.
Does KERIANN NICKOLA GRAY (M.D.) practice in New York?
You will see Troy, New York on file for KERIANN NICKOLA GRAY (M.D.) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.