Kimberly M Gray-White, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036-106823 Issued in IL

Practice address

508 W. Dr. Martin Luther King Jr. Blvd
Suite a
Tampa, FL 33603

Phone

(813) 229-1924

NPI assigned

Jul 18, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IDBHCA/Endpoint/IDBHCA

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.

• Center for Internal Medicine Inc Temple Terrace

  • Internal Medicine Physician
  • Tampa, FL
  • NPI 1376848887
  NPD (past)
• Emergency Care Physician Services-Blue Island LTD

  • Emergency Medicine Physician
  • Blue Island, IL
  • NPI 1558524793
  NPD (past)
• MSMC Investors, LLC

  • Family Medicine Physician
  • Blue Island, IL
  • NPI 1225286412
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397692800000",
    "number": "1598783193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 W. DR. MARTIN LUTHER KING JR. BLVD",
            "address_2": "SUITE A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33603",
            "telephone_number": "813-229-1924",
            "fax_number": "813-229-3503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 W. DR. MARTIN LUTHER KING JR. BLVD",
            "address_2": "SUITE A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33603",
            "telephone_number": "813-229-1924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY-WHITE",
        "first_name": "KIMBERLY",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2014-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-106823",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME110366",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nikolaus Lee Gravenstein, M.D.
• Andrew Graves
• Corley Elizabeth Graves, PT, DPT
• Sara Elizabeth Graves
• Jennifer Suzanne Grawunder, OTRL
• Amaya Kiara Gray
• Danielle Gray, MA SLP
• Emma Gray, CCC-SLP
• Ericka Danielle Gray, DMD
• Jalaina Jenniece Gray

• Family Medicine Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2014; 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.

Verify at the official NPI Registry.