NPIMap

Individual provider Active NPI

Victor E. Grigoriev, M.D.

  • Urology Physician
  • Las Vegas, NV
National Provider Identifier
1720173602
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
7212 Issued in NV
Practice address
7500 Smoke Ranch Rd.
Suite 200
Las Vegas, NV 89128-0373
Phone
(702) 233-0727
Fax
(702) 233-4799
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 7212 NV Primary
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician 2088F0040X 7212 NV

Addresses

Primary practice location

7500 Smoke Ranch Rd.
Suite 200
Las Vegas, NV 89128-0373

Mailing address

7150 W Sunset Rd
Suite 201a
Las Vegas, NV 89113-1981
Phone (702) 385-4342

Other identifiers 1

IdentifierTypeStateIssuer
1720143602MedicaidNV

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
I20101005000092 NV Practitioner - UrologyPractitioner - Other (Physician) 6608813811 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Missouri, Columbia School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Las Vegas Urology LLPGroup PAC ID 5294713335, 51 clinicians

Practice addresses (Care Compare)

2310 Corporate Cir
Suite 200
Henderson, NV 89074-7729
Phone (702) 735-8000

7150 W Sunset Rd
Las Vegas, NV 89113-1982

7500 Smoke Ranch Rd
Suite 200
Las Vegas, NV 89128-0373
Phone (702) 233-0727

7501 Trinity Peak Ave
Las Vegas, NV 89128-9026
Phone (702) 803-8874

Hospital & facility affiliations

  • Mountainview Hospital Hospital, Las Vegas, NV, CCN 290039
  • Southern Hills Hospital and Medical Center Hospital, Las Vegas, NV, CCN 290047
  • Summerlin Hospital Medical Center Hospital, Las Vegas, NV, CCN 290041
  • Western Arizona Regional Medical Center Hospital, Bullhead City, AZ, CCN 030101
  • Valley Hospital Medical Center Hospital, Las Vegas, NV, CCN 290021

Merit-based Incentive Payment System (MIPS)

Final score
88.26 of 100Reported as group
Quality
90.39
Improvement activities
40
Cost
78.5

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection29
Removal of tissue1-10
Removal of the uterus23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7212NVMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Surgical Center LLC Urology Current Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients
Allcare for Women LLC PastSince Feb 9, 2025 Accepting new patients
Summerlin Hospital Medical Center L L C Past Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients
Dignity Health Past Accepting new patients
Desert Springs Hospital Past Accepting new patients
Dr Shetty PLLC Family Medicine PastSince Jun 1, 2024 Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: victorgrigoriev@lvu.medalliesdirect.net

Organizations & group practices 10

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.

Hospital & facility affiliations 10

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1720173602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7150 W SUNSET RD",
            "address_2": "SUITE 201A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891131981",
            "telephone_number": "702-385-4342",
            "fax_number": "702-385-4346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 SMOKE RANCH RD.",
            "address_2": "SUITE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280373",
            "telephone_number": "702-233-0727",
            "fax_number": "702-233-4799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIGORIEV",
        "first_name": "VICTOR",
        "middle_name": "E.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NV",
            "license": "7212",
            "primary": true
        },
        {
            "code": "2088F0040X",
            "taxonomy_group": "",
            "desc": "Urology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "NV",
            "license": "7212",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720143602",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.