Active NPI
Gagan Grewal, MD
- Sports Medicine (Orthopaedic Surgery) Physician
- Overland Park, KS
National Provider Identifier
1164003232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- 04-53434
- Practice address
- 10730 Nail Avenue, Suite 200
Overland Park, KS 66211 - Phone
- (913) 945-9892
- NPI assigned
- Apr 19, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 04-53434 | KS | Primary |
Addresses
Primary practice location
10730 Nail Avenue, Suite 200
Overland Park, KS 66211
Mailing address
10730 Nail Avenue Suite 200
Overland Park, KS 66211
Phone (913) 945-9892
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785974400000",
"number": "1164003232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10730 NAIL AVENUE SUITE 200",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "66211",
"telephone_number": "913-945-9892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10730 NAIL AVENUE, SUITE 200",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "66211",
"telephone_number": "913-945-9892"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREWAL",
"first_name": "GAGAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-19",
"last_updated": "2026-08-06",
"certification_date": "2026-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "KS",
"license": "04-53434",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.