NPIMap

Individual provider Active NPI

Matthew Steven Grolle, MD

  • Obstetrics & Gynecology Physician
  • Las Vegas, NV
National Provider Identifier
1245474204
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
14863 Issued in NV
Practice address
1950 Pinto LN
Las Vegas, NV 89106-4017
Phone
(702) 438-2229
Fax
(702) 385-0982
NPI assigned
Apr 21, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 14863 NV Primary

Addresses

Primary practice location

1950 Pinto LN
Las Vegas, NV 89106-4017

Mailing address

8906 Spanish Ridge Ave Ste 202
Las Vegas, NV 89148-1319
Phone (702) 330-3102

Other practice location 1

7160 Smoke Ranch Rd
Las Vegas, NV 89128-3208
Phone (702) 508-4096

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140814000574 NV Practitioner - Obstetrics/Gynecology 6709003726 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Albany Medical College of Union University, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Women'S Health Associates of Southern Nevada- Martin, PLLCGroup PAC ID 4082845664, 111 clinicians

Practice addresses (Care Compare)

10105 Banburry Cross Dr
Suite 460
Las Vegas, NV 89144-6645
Phone (702) 665-8601

1950 Pinto LN
Las Vegas, NV 89106-4017
Phone (702) 438-2229

9120 W Post Rd
Suite 200
Las Vegas, NV 89148-2427
Phone (702) 870-2229

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Unlv Medicine CurrentSince Apr 15, 2018 Accepting new patients
Unlv Medicine Current Accepting new patients
Unlv Medicine CurrentSince Apr 15, 2018 Accepting new patients
Summerlin Hospital Medical Center L L C Past Accepting new patients
Spring Valley Medical Center Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients
Spring Valley Medical Center Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients

Locations

1707 W Charleston Blvd
Ste 110
Las Vegas, NV 89102
Phone (702) 671-2300

1707 W Charleston Blvd
Ste 200
Las Vegas, NV 89102
Phone (702) 671-5140

3196 S Maryland Pkwy
Ste 303
Las Vegas, NV 89109
Phone (702) 383-2919

Interoperability endpoints

  • Direct secure messaging: mgrolle13090@direct.umcsn.com
  • Direct secure messaging: matthew.grolle@whasn.eclinicaldirectplus.com

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1240272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1245474204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8906 SPANISH RIDGE AVE STE 202",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891481319",
            "telephone_number": "702-330-3102",
            "fax_number": "702-912-4994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 PINTO LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064017",
            "telephone_number": "702-438-2229",
            "fax_number": "702-385-0982"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7160 Smoke Ranch Rd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891283208",
            "country_code": "US",
            "telephone_number": "702-508-4096",
            "fax_number": "702-268-8179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROLLE",
        "first_name": "MATTHEW",
        "middle_name": "STEVEN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-21",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NV",
            "license": "14863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.