Sava Grujic, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

11541 Issued in NV

Practice address

4230 Burnham Ave
Las Vegas, NV 89119-5408

Phone

(702) 733-7866

Fax

(702) 733-8862

NPI assigned

Aug 22, 2006

Last updated

Jun 22, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Locations

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.

• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Santa Clara, CA
  • NPI 1073606299

  Anatomic Pathology & Clinical Pathology

  Medicare reassignment NPD
• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Vallejo, CA
  • NPI 1336222397

  Anatomic Pathology & Clinical Pathology

  NPD

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434931200000",
    "number": "1275649113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4230 BURNHAM AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195408",
            "telephone_number": "702-733-7866",
            "fax_number": "702-733-8862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4230 BURNHAM AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195408",
            "telephone_number": "702-733-7866",
            "fax_number": "702-733-8862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUJIC",
        "first_name": "SAVA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2015-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NV",
            "license": "11541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alcika Grudem
• Andrew Robert Grudzinski, MD
• Kendell Gruendell, LMT
• Christopher Gruenzner
• Michele Gruhn
• Vanya Grujicic, FNP
• Kim Marie Grum, LSUDC, CAADC, CRS
• Gabrielle J Grundy, MD
• Heather Grundy
• Kristen Grunerud, FNP-BC, DNP

• Anatomic Pathology & Clinical Pathology Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Anatomic Pathology & Clinical Pathology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; 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.