Individual provider Active NPI

Gabrielle J Grundy, MD

  • Obstetrics & Gynecology Physician
  • Las Vegas, NV
National Provider Identifier
1790911238
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
20689 Issued in NV
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

Updated by the provider on Jan 6, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
20689OtherNVSTATE LICENSE
7100253500MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, AL, NV3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20191008001128 WY Practitioner - Obstetrics/Gynecology 9638312036 Reassigns benefits to 1 organization
I20210215001715 AL Practitioner - Obstetrics/Gynecology 9638312036 Reassigns benefits to 1 organization
I20210907002123 NV Practitioner - Obstetrics/Gynecology 9638312036 Reassigns benefits to 2 organizations

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
Iriye Medical Group PLLCGroup PAC ID 2163415910, 61 clinicians

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

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20689NVMDPharmacist
12405AWYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Holdings Nevada Inc CurrentSince Jan 1, 2022 Accepting new patients
Healthcare Partners Medical Group Coats LTD Current Accepting new patients
Intermountain Medical Holdings Nevada Inc Obstetrics & Gynecology CurrentSince Jan 1, 2022 Accepting new patients
Obhg Alabama, P.C. Obstetrics & Gynecology CurrentSince Jan 30, 2021 Accepting new patients
Iriye Medical Group PLLC CurrentSince Aug 12, 2024 Accepting new patients
Neurosurgical Associates PSC Current Accepting new patients
Memorial Hospital of Sweetwater County CurrentSince Sep 16, 2019 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

  • Direct secure messaging: gabriellegrundy@kysjhspe.allscriptsdirect.net
  • Direct secure messaging: gabrielle.grundy.2@27017.direct.athenahealth.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.