Active NPI
Gabrielle J Grundy, MD
- Obstetrics & Gynecology Physician
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 20689
- Practice address
- 6850 N Durango Dr Ste 401
Las Vegas, NV 89149-4598 - Phone
- (702) 463-2981
- Fax
- (702) 463-2883
- NPI assigned
- Jun 10, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | TP332 | KY | |
| Obstetrics & Gynecology Physician | 207V00000X | 46455 | KY | |
| Obstetrics & Gynecology Physician | 207V00000X | 12405A | WY | |
| Obstetrics & Gynecology Physician | 207V00000X | 20689 | NV | Primary |
Addresses
Primary practice location
6850 N Durango Dr Ste 401
Las Vegas, NV 89149-4598
Mailing address
6850 N Durango Dr Ste 401
Las Vegas, NV 89149-4598
Phone (702) 463-2981
Other practice location 1
6355 S Buffalo Dr Fl 3
Las Vegas, NV 89113-2133
Phone (702) 255-3547
Other practice location 2
2011 Pinto Ln Ste 103
Las Vegas, NV 89106-4005
Phone (702) 463-2981
Other practice location 3
1180 College Dr
Rock Springs, WY 82901-5863
Phone (307) 352-8383
Other practice location 4
81 Ball Park Rd
Harlan, KY 40831-1701
Phone (606) 573-8100
Other practice location 5
3600 Cumberland Ave
Middlesboro, KY 40965-2614
Phone (606) 242-1100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20689 | Other | NV | STATE LICENSE |
| 7100253500 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY, AL, NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of Louisville School of Medicine, 2009
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
2011 Pinto LN
Suite 200
Las Vegas, NV 89106-4007
Phone (702) 382-3200
6850 N Durango Dr
Suite 401
Las Vegas, NV 89149-4598
Phone (702) 463-2981
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20689 | NV | MD | Pharmacist |
| 12405A | WY | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intermountain Medical Holdings Nevada Inc | Current | Accepting new patients | |
| Healthcare Partners Medical Group Coats LTD | Current | Accepting new patients | |
| Intermountain Medical Holdings Nevada Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Obhg Alabama, P.C. | Obstetrics & Gynecology | Current | Accepting new patients |
| Iriye Medical Group PLLC | Current | Accepting new patients | |
| Neurosurgical Associates PSC | Current | Accepting new patients | |
| Memorial Hospital of Sweetwater County | Current | Accepting new patients | |
| Centennial Hills Hospital Medical Center | Past | Accepting new patients |
Locations
2010 Medical Center Dr
Homewood, AL 35209
Phone (205) 877-1930
595 W Lake Mead Pkwy
Henderson, NV 89015
Phone (702) 566-5500
6850 N Durango Dr
Ste 401
Las Vegas, NV 89149
Phone (702) 463-2981
2011 Pinto Ln
Ste 103
Las Vegas, NV 89106
Phone (702) 463-2981
2011 Pinto Ln
Ste 200
Las Vegas, NV 89106
Phone (702) 382-3200
6355 S Buffalo Dr
Fl 3
Las Vegas, NV 89113
Phone (702) 479-4881
2011 Pinto Ln
Ste 100
Las Vegas, NV 89106
Phone (702) 463-2981
4880 Wynn Rd
Las Vegas, NV 89103
Phone (702) 382-4554
1397 S Loop Rd
Pahrump, NV 89048
Phone (775) 727-5500
777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 908-3736
1200 College Dr
Rock Springs, WY 82901
Phone (307) 352-8352
1180 College Dr
Rock Springs, WY 82901
Phone (307) 352-8125
Interoperability endpoints
- gabriellegrundy@kysjhspe.allscriptsdirect.net
- gabrielle.grundy.2@27017.direct.athenahealth.com
- gabrielle.grundy.1@27017.direct.athenahealth.com
Organizations & group practices 8
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.
-
- Maternal & Fetal Medicine Physician
- Las Vegas, NV
- NPI 1467496240
-
- Internal Medicine Physician
- Henderson, NV
- NPI 1245997279
Obstetrics & Gynecology
-
- Critical Access Hospital
- Rock Springs, WY
- NPI 1558361949
-
- Family Medicine Physician
- Las Vegas, NV
- NPI 1487631917
-
- Home Health Agency
- Las Vegas, NV
- NPI 1689882557
-
- Neurological Surgery Physician
- Lexington, KY
- NPI 1235110925
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1487771812
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736121600000",
"number": "1790911238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6850 N DURANGO DR STE 401",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891494598",
"telephone_number": "702-463-2981",
"fax_number": "702-463-2883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6850 N DURANGO DR STE 401",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891494598",
"telephone_number": "702-463-2981",
"fax_number": "702-463-2883"
}
],
"practiceLocations": [
{
"address_1": "6355 S Buffalo Dr Fl 3",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891132133",
"country_code": "US",
"telephone_number": "702-255-3547",
"fax_number": "702-921-2419",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2011 Pinto Ln Ste 103",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891064005",
"country_code": "US",
"telephone_number": "702-463-2981",
"fax_number": "702-462-2883",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1180 College Dr",
"address_purpose": "LOCATION",
"city": "Rock Springs",
"state": "WY",
"postal_code": "829015863",
"country_code": "US",
"telephone_number": "307-352-8383",
"fax_number": "307-352-8477",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "81 Ball Park Rd",
"address_purpose": "LOCATION",
"city": "Harlan",
"state": "KY",
"postal_code": "408311701",
"country_code": "US",
"telephone_number": "606-573-8100",
"fax_number": "616-439-6927",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3600 Cumberland Ave",
"address_purpose": "LOCATION",
"city": "Middlesboro",
"state": "KY",
"postal_code": "409652614",
"country_code": "US",
"telephone_number": "606-242-1100",
"fax_number": "606-439-6927",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRUNDY",
"first_name": "GABRIELLE",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-10",
"last_updated": "2025-01-06",
"certification_date": "2025-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "KY",
"license": "TP332",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "KY",
"license": "46455",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "WY",
"license": "12405A",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NV",
"license": "20689",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "20689",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100253500",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.