Active NPI
Shavinder Grewal
- Family Nurse Practitioner
- Leawood, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5377582
- Practice address
- 10977 Granada LN
Suite 105
Leawood, KS 66211-1468 - Phone
- (913) 215-5008
- Fax
- (816) 447-3960
- NPI assigned
- Mar 20, 2017
- Last updated
- Mar 20, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2017007333 | MO | |
| Family Nurse Practitioner | 363LF0000X | 5377582 | KS | Primary |
Addresses
Primary practice location
10977 Granada LN
Suite 105
Leawood, KS 66211-1468
Mailing address
PO Box 875743
Kansas City, MO 64187-5743
Phone (913) 215-5008
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12300 Metcalf Ave
Overland Park, KS 66213-1324
Phone (913) 317-7000
12330 Metcalf Ave
Overland Park, KS 66213-1324
1307 E N Ave
Belton, MO 64012-5109
Phone (816) 251-5765
301 NE Rice Rd
Lees Summit, MO 64086-2979
Phone (816) 251-5760
310 SW Ward Rd
Lees Summit, MO 64081-2445
Phone (816) 251-5770
4061 Indian Creek Pkwy
Overland Park, KS 66207-4030
Phone (816) 932-4630
4321 Washington
Kansas City, MO 64111-5928
5151 Troost Ave
Suite 200
Kansas City, MO 64110-2524
Phone (816) 502-9130
5844 NW Barry Rd
Kansas City, MO 64154-1483
601 S 169 Hwy
Smithville, MO 64089-9317
Phone (816) 532-3700
601 S US Hwy 169
Smithville, MO 64089-9317
Phone (816) 532-3999
6655 Martway St
Mission, KS 66202-3290
Phone (913) 323-8875
9400 E
Suite 350
Raytown, MO 64133-6509
Phone (816) 251-5700
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5377582 | KS | MD | Family Nurse Practitioner |
| 2017007333 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Luke's Physician Group Inc | Current | Accepting new patients | |
| Curana Health of Missouri-Kansas LLC | Current | Accepting new patients |
Locations
711 Marshall St
Leavenworth, KS 66048
Phone (913) 684-1100
12724 State Line Rd
Leawood, KS 66209
Phone (913) 345-8808
12330 Metcalf Ave
Ste 500A
Overland Park, KS 66213
Phone (913) 323-9000
5500 W 123rd St
Overland Park, KS 66209
Phone (913) 266-8404
10977 Granada Ln
Ste 105
Overland Park, KS 66211
5844 NW Barry Rd
Ste 110
Kansas City, MO 64154
Phone (816) 880-6100
2323 E 63rd St
Kansas City, MO 64130
Phone (816) 444-8161
4301 NE Parvin Rd
North Kansas City, MO 64117
Phone (816) 444-0900
2150 W Randolph St
Saint Charles, MO 63301
Phone (636) 946-4966
601 S US Highway 169
Smithville, MO 64089
Phone (816) 532-3999
1101 W Clay Rd
Versailles, MO 65084
Phone (573) 378-5312
Interoperability endpoints
- sgrewal233069@direct.saint-lukes.org
- sgrewal@landmarkhealth-direct.org
Organizations & group practices 2
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.
-
dba Saint Luke's Medical Group
- Family Medicine Physician
- Kansas City, MO
- NPI 1093263717
KS
-
dba Elite Patient Care
- Family Medicine Physician
- Lee's Summit, MO
- NPI 1306165337
KS
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Saint Luke's Hospital of Kansas City
- General Acute Care Hospital
- Kansas City, MO
- NPI 1063494177
-
dba Crittenton Children's Center
- General Acute Care Hospital
- Kansas City, MO
- NPI 1932642972
-
dba Saint Luke's Hospital Infusion Center at Liberty
- General Acute Care Hospital
- Liberty, MO
- NPI 1275926198
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489968000000",
"number": "1740721083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 875743",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641875743",
"telephone_number": "913-215-5008",
"fax_number": "816-447-3960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10977 GRANADA LN",
"address_2": "SUITE 105",
"city": "LEAWOOD",
"state": "KS",
"postal_code": "662111468",
"telephone_number": "913-215-5008",
"fax_number": "816-447-3960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREWAL",
"first_name": "SHAVINDER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-20",
"last_updated": "2017-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2017007333",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KS",
"license": "5377582",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leawood, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.