NPIMap

Individual provider Active NPI

Kali Gray, DO

  • Nephrology Physician
  • Grand Rapids, MI
National Provider Identifier
1003439852
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
5101028691 Issued in MI
Practice address
330 E Beltline Ave NE Ste 100
Grand Rapids, MI 49506-1267
Phone
(616) 752-6235
Fax
(616) 752-6324
NPI assigned
May 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5101028691 MI
Nephrology Physician 207RN0300X 5101028691 MI Primary

Addresses

Primary practice location

330 E Beltline Ave NE Ste 100
Grand Rapids, MI 49506-1267

Mailing address

330 E Beltline Ave NE Ste 100
Grand Rapids, MI 49506-1267
Phone (616) 752-6235

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200602002655 MI Practitioner - Internal MedicinePractitioner - Nephrology 9234550088 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Michigan State University College of Osteopathic Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renal Associates of West Michigan PCGroup PAC ID 2466348644, 20 clinicians

Practice addresses (Care Compare)

330 E Beltline Ave NE
Suite 100
Grand Rapids, MI 49506-1267
Phone (616) 752-6235

Hospital & facility affiliations

  • DaVita PDI-Grand Rapids Dialysis facility, Grand Rapids, MI, CCN 232565
  • FMC - Kentwood Dialysis facility, Grand Rapids, MI, CCN 232703
  • FMC Royal Park - Zeeland Dialysis facility, Zeeland, MI, CCN 232564
  • Spectrum Health Hospital, Grand Rapids, MI, CCN 230038
  • Mercy Health Saint Mary'S Hospital, Grand Rapids, MI, CCN 230059
  • University of Michigan Health - West Hospital, Wyoming, MI, CCN 230236
  • Holland Hospital Hospital, Holland, MI, CCN 230072
  • Spectrum Health United Hospital Hospital, Greenville, MI, CCN 230035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101028691MIMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rawm Vascular Access, PLLC Nephrology CurrentSince May 15, 2025 Accepting new patients
Renal Associates of West Michigan PC Nephrology CurrentSince May 15, 2025 Accepting new patients
Rai Care Centers of Holland, LLC Past Accepting new patients

Locations

330 E Beltline Ave NE
Ste 100
Grand Rapids, MI 49506
Phone (616) 752-6235

649 Hastings Ave
Holland, MI 49423
Phone (616) 392-3263

1540 36th St SW
Wyoming, MI 49509
Phone (616) 532-3072

Interoperability endpoints

  • Direct secure messaging: kallis746381@direct.hfhs.org
  • Direct secure messaging: kgray4415879@direct.trinity-health.org
  • Direct secure messaging: kgray79536@direct.acumenmd.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1590537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1003439852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 E BELTLINE AVE NE STE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495061267",
            "telephone_number": "616-752-6235",
            "fax_number": "616-752-6324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 E BELTLINE AVE NE STE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495061267",
            "telephone_number": "616-752-6235",
            "fax_number": "616-752-6324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "KALI",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-27",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101028691",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MI",
            "license": "5101028691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.