Individual provider Active NPI

Larissa Grebenchtchikova, M.D.

  • Anesthesiology Physician
  • Phoenix, AZ
National Provider Identifier
1093970766
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
43833 Issued in AZ
Practice address
250 E Dunlap Ave
Phoenix, AZ 85020-2825
Phone
(602) 943-2381
NPI assigned
Jul 22, 2008
Last updated
Sep 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X 003161 NY
Anesthesiology Physician 207L00000X DR.0076648 CO
Anesthesiology Physician 207L00000X C169056 CA
Anesthesiology Physician 207L00000X 003161 NY
Anesthesiology Physician 207L00000X 100498 WI
Anesthesiology Physician 207L00000X 43833 AZ Primary

Addresses

Primary practice location

250 E Dunlap Ave
Phoenix, AZ 85020-2825

Mailing address

250 E Dunlap Ave
Phoenix, AZ 85020-2825
Phone (602) 943-2381

Other practice location 1

1400 E Boulder St
Colorado Springs, CO 80909-5533
Phone (719) 365-5000

Other practice location 2

400 W 16th St
Pueblo, CO 81003-2745
Phone (719) 584-4045

Other practice location 3

10400 75th St
Kenosha, WI 53142-7884
Phone (262) 948-5600

Other practice location 4

2105 Forest Ave
San Jose, CA 95128-1471
Phone (408) 259-5000 ext. 2616

Other identifiers 1

IdentifierTypeStateIssuer
100230616MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, AZ, CA, OK, PA, MT, HI, CO8 enrollments
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 8

Enrollment IDStateProvider typePAC IDDetails
I20080826000667 NY Practitioner - Anesthesiology 7810062874 Reassigns benefits to 1 organization
I20130103000469 AZ Practitioner - Anesthesiology 7810062874 Reassigns benefits to 10 organizations
I20170406001919 CA Practitioner - Anesthesiology 7810062874 Reassigns benefits to 7 organizations
I20190910000459 OK Practitioner - Anesthesiology 7810062874 Reassigns benefits to 1 organization
I20201209000694 PA Practitioner - Anesthesiology 7810062874
I20240308002500 MT Practitioner - Anesthesiology 7810062874 Reassigns benefits to 1 organization
I20260402002533 HI Practitioner - Anesthesiology 7810062874 Reassigns benefits to 1 organization
I20260622001821 CO Practitioner - Anesthesiology 7810062874 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeastern Anesthesia PLLCGroup PAC ID 4284813940, 83 clinicians
Grand Canyon Anesthesia LLCGroup PAC ID 3678824752, 50 clinicians
Battle Born Anesthesia Associates LTDGroup PAC ID 5193235141, 26 clinicians
Kingman Healthcare IncGroup PAC ID 6901791367, 185 clinicians
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians
University Anesthesia Medical GroupGroup PAC ID 2769370535, 402 clinicians
Hospitalist Medicine Physicians of Arizona - NogalesGroup PAC ID 9335554625, 11 clinicians

Practice addresses (Care Compare)

101 Civic Ctr LN
Lake Havasu City, AZ 86403-5607
Phone (928) 855-8185

14200 W Celebrate Life Way
Goodyear, AZ 85338-3007
Phone (480) 666-7850

3269 N Stockton Hill Rd
Kingman, AZ 86409-3619
Phone (917) 903-0010

400 W 16TH St
Pueblo, CO 81003-2745
Phone (719) 584-4921

505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-1000

5755 S Houghton Rd
Tucson, AZ 85747-0002
Phone (520) 324-5818

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.98 of 100Reported as group
Quality
95
Improvement activities
40
Cost
80.65

Merit-based Incentive Payment System (MIPS)

Final score
63.03 of 100Reported as group
Quality
44.74
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as group
Quality
0
Improvement activities
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
294865NYMDLicensed Practical Nurse
43833AZMDAnesthesiology Physician
C169056CAMDAnesthesiology Physician
DR.0076648COMDAnesthesiology Physician
100498WIMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Delphi Healthcare PLLC Anesthesiology CurrentSince Apr 1, 2019 Accepting new patients
Billings Clinic CurrentSince Mar 1, 2024 Accepting new patients
Sierra Vista Regional Health Center Medical Group LLC CurrentSince May 1, 2019 Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Jul 30, 2023 Accepting new patients
First Choice Physician Partners Current Accepting new patients
University of California San Francisco CurrentSince Sep 26, 2024 Accepting new patients
UCSF Medical Group Business Services CurrentSince Sep 26, 2024 Accepting new patients
First Choice Physician Partners CurrentSince Aug 22, 2022 Accepting new patients
Orthomed Staffing LLC Anesthesiology CurrentSince Mar 1, 2021 Accepting new patients
Kingman Healthcare, Inc Current Accepting new patients
Billings Clinic Current Accepting new patients
Grand Canyon Anesthesia LLC Anesthesiology CurrentSince Dec 1, 2020 Accepting new patients
Billings Clinic CurrentSince Mar 1, 2024 Accepting new patients
Emergenchealth PLLC Anesthesiology CurrentSince Aug 23, 2021 Accepting new patients
UCSF Medical Group Business Services CurrentSince Sep 26, 2024 Accepting new patients
Hospitalist Medicine Physicians of Arizona - Nogales Anesthesiology CurrentSince Nov 3, 2024 Accepting new patients
Northeastern Anesthesia PLLC Anesthesiology CurrentSince Jul 1, 2025 Accepting new patients
University Anesthesia Medical Group Anesthesiology CurrentSince Sep 26, 2024 Accepting new patients
Valley Regional Anesthesia Associates Inc Anesthesiology CurrentSince Nov 18, 2023 Accepting new patients
U of R Anesthesiology Group Anesthesiology CurrentSince Jul 12, 2021 Accepting new patients
Anesthesia Partners of Arizona LLC Anesthesiology CurrentSince Jun 1, 2024 Accepting new patients
Battle Born Anesthesia Associates LTD Anesthesiology CurrentSince Dec 1, 2025 Accepting new patients
University of California San Francisco CurrentSince Sep 26, 2024 Accepting new patients
Ias Arizona PLLC Anesthesiology CurrentSince Sep 20, 2023 Accepting new patients
Kingman Healthcare, Inc CurrentSince May 1, 2019 Accepting new patients
Premier Anesthesia of California, PC Anesthesiology CurrentSince Oct 23, 2020 Accepting new patients
Cep America - Anesthesia, PC Anesthesiology Current Accepting new patients
Radius Anesthesia of Arizona PLLC Anesthesiology CurrentSince Jul 1, 2017 Accepting new patients
University of California San Francisco Current Accepting new patients
First Choice Physician Partners CurrentSince Aug 22, 2022 Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Jul 30, 2023 Accepting new patients
Kingman Healthcare, Inc CurrentSince May 1, 2019 Accepting new patients
Siskiyou Hospital, Inc. Past Accepting new patients
UCSF Medical Center Anesthesiology Past Accepting new patients
Banner Heart Hospital Past Accepting new patients
Wilcox Memorial Hospital Past Accepting new patients
Universityofrochester Past Accepting new patients
Maple Gate Anesthesiologists, P.C. Anesthesiology Past Accepting new patients
St Josephs University Medical Center Inc. Past Accepting new patients
Kingman Healthcare, Inc Past Accepting new patients
Highland Hospital of Rochester Past Accepting new patients
Honorhealth Past Accepting new patients
Banner - University Medical Center Phoenix Past Accepting new patients
Yavapai Community Hospital Association Past Accepting new patients
Cep America - Anesthesia PC Anesthesiology Past Accepting new patients
University of California San Francisco Past Accepting new patients

Locations (25 of 47)

5330 S Highway 95
Fort Mohave, AZ 86426
Phone (928) 788-2273

2223 E Baseline Rd
Ste B
Gilbert, AZ 85234
Phone (480) 289-5266

18699 N 67th Ave
Ste 140
Glendale, AZ 85308
Phone (623) 376-8600

5880 S Hospital Dr
Globe, AZ 85501
Phone (928) 402-1217

3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626

101 Civic Center Ln
Lk Havasu Cty, AZ 86403
Phone (928) 453-0150

1500 S Dobson Rd
Ste 101
Mesa, AZ 85202
Phone (480) 306-6098

6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

1850 N 95th Ave
Ste 190
Phoenix, AZ 85037
Phone (523) 594-4060

2345 E Thomas Rd
Ste 400
Phoenix, AZ 85016
Phone (602) 343-2900

250 E Dunlap Ave
Phoenix, AZ 85020
Phone (480) 331-6721

300 W Clarendon Ave
Ste 230
Phoenix, AZ 85013
Phone (323) 470-0335

4605 E Elwood St
Ste 500
Phoenix, AZ 85040
Phone (469) 998-7443

2200 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4375

5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000

5700 E Highway 90
Fl 4
Sierra Vista, AZ 85635
Phone (520) 263-3500

10360 E Drexel Rd
Tucson, AZ 85747
Phone (469) 340-1366

1601 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 622-5833

5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344

5755 S Houghton Rd
Tucson, AZ 85747
Phone (520) 324-1727

1030 W 24th St
Ste H
Yuma, AZ 85364
Phone (520) 726-5151

3001 Sillect Ave
Bakersfield, CA 93308
Phone (661) 316-6000

1660 W 3rd St
Los Angeles, CA 90017
Phone (213) 201-0850

1205 E North St
Manteca, CA 95336
Phone (209) 239-8301

Interoperability endpoints

  • Direct secure messaging: lgrebenchtchikova143912@cityofhope.direct-ci.com
  • Direct secure messaging: lgrebenchtchikova195119@santaclaravalley.direct-ci.net
  • Direct secure messaging: lgrebenchtchikova230989@direct.urmc.rochester.edu
  • Direct secure messaging: lgrebenchtchikova349151@direct-ucsfmedicalcenter.org

Organizations & group practices 48

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.

View all 48

Hospital & facility affiliations 6

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": "1216684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1093970766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 E DUNLAP AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202825",
            "telephone_number": "602-943-2381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 E DUNLAP AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202825",
            "telephone_number": "602-943-2381"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 E Boulder St",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809095533",
            "country_code": "US",
            "telephone_number": "719-365-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 W 16th St",
            "address_purpose": "LOCATION",
            "city": "Pueblo",
            "state": "CO",
            "postal_code": "810032745",
            "country_code": "US",
            "telephone_number": "719-584-4045",
            "fax_number": "719-542-0809",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10400 75th St",
            "address_purpose": "LOCATION",
            "city": "Kenosha",
            "state": "WI",
            "postal_code": "531427884",
            "country_code": "US",
            "telephone_number": "262-948-5600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2105 Forest Ave",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951281471",
            "country_code": "US",
            "telephone_number": "408-259-5000 x2616",
            "fax_number": "408-995-0117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREBENCHTCHIKOVA",
        "first_name": "LARISSA",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-22",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NY",
            "license": "003161",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CO",
            "license": "DR.0076648",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "C169056",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "003161",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WI",
            "license": "100498",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "43833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100230616",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.