Individual provider Active NPI

Shavinder Grewal

  • Family Nurse Practitioner
  • Leawood, KS
National Provider Identifier
1740721083
Registry record updated Mar 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5377582 Issued in KS
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, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, MO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170410000863 KS Practitioner - Nurse Practitioner 9638455496 Reassigns benefits to 2 organizations
I20170510001338 MO Practitioner - Nurse Practitioner 9638455496 Reassigns benefits to 2 organizations

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
Saint Lukes Physician Group IncGroup PAC ID 3577476894, 1,233 clinicians

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

LicenseStateTypeSpecialty
5377582KSMDFamily Nurse Practitioner
2017007333MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Luke's Physician Group Inc CurrentSince Jan 31, 2022 Accepting new patients
Curana Health of Missouri-Kansas LLC CurrentSince Mar 7, 2017 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

  • Direct secure messaging: sgrewal233069@direct.saint-lukes.org
  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.