Individual provider Active NPI

Shalaunda K Gray, M.D.

  • Family Medicine Physician
  • Independence, MO
National Provider Identifier
1467545863
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2009020484 Issued in MO
Practice address
1010 W US Highway 24
Independence, MO 64050-2337
Phone
(816) 608-3411
NPI assigned
Sep 30, 2006
Last updated
Apr 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2009020484 MO Primary
Family Medicine Physician 207Q00000X 0430824 KS

Addresses

Primary practice location

1010 W US Highway 24
Independence, MO 64050-2337

Mailing address

1010 W US Highway 24
Independence, MO 64050-2337
Phone (816) 608-3411

Other identifiers 2

IdentifierTypeStateIssuer
34398046OtherBCBS OF KANSAS CITY
200266760HMedicaidKS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shalaunda.gray.1@29601.direct.athenahealth.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220803002398 MO Practitioner - Family Practice 9830168384 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1010 W US Hwy 24
Independence, MO 64050-2337
Phone (816) 608-3411

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0430824KSMDFamily Medicine Physician
2009020484MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care (Mo) PC Family Medicine CurrentSince Dec 1, 2024 Accepting new patients
Centerwell Senior Primary Care (Mo) PC Family Medicine CurrentSince Dec 1, 2024 Accepting new patients
Centerwell Senior Primary Care (Mo) PC Family Medicine Current Accepting new patients
Living Water Family Care Family Medicine Past Accepting new patients
Providence Care Inc Family Medicine Past Accepting new patients
Family Health Medical Group of Overland Park, LLC Family Medicine Past Accepting new patients
Centerwell Senior Primary Care (Mo) PC Family Medicine Past Accepting new patients
Valleyview Family Care LLC Family Medicine Past Accepting new patients
Menorah Urgent Care, LLC Past Accepting new patients

Locations

1513 Main St
Grandview, MO 64030
Phone (816) 731-1890

1010 W US Highway 24
Independence, MO 64050
Phone (816) 608-3411

Interoperability endpoints

  • Direct secure messaging: shalaunda.gray.1@29601.direct.athenahealth.com
  • Direct secure messaging: shalaunda.gray@centerwell.eclinicaldirectplus.com

Organizations & group practices 10

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

NPI Registry JSON

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1467545863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 W US HIGHWAY 24",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640502337",
            "telephone_number": "816-608-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 W US HIGHWAY 24",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640502337",
            "telephone_number": "816-608-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "SHALAUNDA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-30",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2009020484",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "0430824",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KANSAS CITY",
            "identifier": "34398046",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200266760H",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shalaunda.gray.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "1010 W US Highway 24",
            "city": "Independence",
            "state": "MO",
            "country_code": "US",
            "postal_code": "640502337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Independence, MO

Sources for this page

Verify at the official NPI Registry.