Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Samuel Gray, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1184088486

Dr. Samuel Gray, DPM is a Podiatry in Sterling, Virginia. Graduated from Kent State University College of Podiatric Medicine in 2016, 10 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
10
Trained at
Kent State University College of Podiatric Medicine
Licensed in
VA
In the registry since
2016
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

46090 Lake Center Plz Ste 204
Sterling, VA 20165-5878
Phone: (703) 539-2036
Fax: (703) 563-2716
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3300 Gallows Rd, Falls Church, VA 22042-3307 — (703) 776-4001

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 0103301267 (VA)

Record details

NPI number1184088486
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedApril 12, 2016
Last updated in NPPESJune 26, 2019
Mailing address7850 Newport Glen Pass, Annandale, VA 22003-1561

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolKENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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