Individual provider Active NPI

Jordan Anthony Grush, DO

  • Emergency Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1801384615
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
T1712 Issued in TX
Practice address
901 Rancho LN Ste 135
Las Vegas, NV 89106-3826
Phone
(702) 383-7885
Fax
(702) 383-8235
NPI assigned
Apr 26, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X T1712 TX Primary

Addresses

Primary practice location

901 Rancho LN Ste 135
Las Vegas, NV 89106-3826

Mailing address

901 Rancho LN Ste 135
Las Vegas, NV 89106-3826
Phone (702) 383-7885

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20210825002618 TX Practitioner - Emergency Medicine 7315270907 Reassigns benefits to 11 organizations
I20260403001211 CA Practitioner - Emergency Medicine 7315270907 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mission Viejo Emergency Medical AssociatesGroup PAC ID 2163335241, 17 clinicians

Practice addresses (Care Compare)

27700 Medical Ctr Rd
Mission Viejo, CA 92691-6426
Phone (949) 365-2202

Hospital & facility affiliations

  • Providence Mission Hospital Hospital, Mission Viejo, CA, CCN 050567
  • Knapp Medical Center Hospital, Weslaco, TX, CCN 450128
  • Doctors Hosptal at Renaissance Hospital, Edinburg, TX, CCN 450869
  • Kaiser Foundation Hospital - Orange County - Anaheim Hospital, Anaheim, CA, CCN 050609

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T1712TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physicians of South Texas PLLC Emergency Medicine CurrentSince May 1, 2024 Accepting new patients
McAllen Emergency Medicine Associates PA Emergency Medicine CurrentSince Jul 13, 2021 Accepting new patients
Rio Valley Emergency Physician Associates PLLC Emergency Medicine CurrentSince Mar 31, 2023 Accepting new patients
Shavano Emergency Medicine Associates, PA Emergency Medicine CurrentSince Jul 13, 2021 Accepting new patients
Travis County Emergency Physicians PA Emergency Medicine CurrentSince Apr 21, 2022 Accepting new patients
Knapp Medical Group CurrentSince Jun 24, 2024 Accepting new patients
Edinburg Emergency Medicine Associates PA Emergency Medicine CurrentSince Jul 13, 2021 Accepting new patients
Canyon Springs Emergency Medicine Associates, PA Emergency Medicine CurrentSince Sep 14, 2021 Accepting new patients
Renaissance Emergency Physicians,PA CurrentSince Sep 1, 2024 Accepting new patients
Municipal Emergency Medicine Associates, PA Emergency Medicine CurrentSince Aug 16, 2021 Accepting new patients
Oak Creek Emergency Medicine Associates, PA Emergency Medicine CurrentSince Aug 13, 2021 Accepting new patients
RFC Radiology Associates LLC Past Accepting new patients

Locations

140 Frontage Rd
Alamo, TX 78516
Phone (956) 403-5100

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

1102 W Trenton Rd
Edinburg, TX 78539
Phone (956) 388-6500

5501 S McColl Rd
Edinburg, TX 78539
Phone (956) 362-3300

3615 N Interstate 69C
Edinburg, TX 78542
Phone (956) 259-2100

4702 S McColl Rd
Edinburg, TX 78539
Phone (956) 213-2600

5501 S Expressway 77
Harlingen, TX 78550
Phone (936) 569-9481

2101 Pease St
Harlingen, TX 78550
Phone (956) 369-1100

2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050

1900 S D St
McAllen, TX 78503
Phone (956) 994-2000

3700 W Nolana Ave
McAllen, TX 78504
Phone (956) 213-2700

301 W Expressway 83
McAllen, TX 78503
Phone (956) 467-9552

2810 W Expressway 83
Mercedes, TX 78570
Phone (956) 296-1831

11525 Broadway St
Pearland, TX 77584
Phone (713) 363-8020

1315 E 6th St
Ste 6
Weslaco, TX 78596
Phone (956) 351-5949

1401 E 8th St
Weslaco, TX 78596
Phone (956) 581-0303

1021 W Interstate 2
Weslaco, TX 78596
Phone (956) 389-1736

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 6

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": "1524700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1801384615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 RANCHO LN STE 135",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891063826",
            "telephone_number": "702-383-7885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 RANCHO LN STE 135",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891063826",
            "telephone_number": "702-383-7885",
            "fax_number": "702-383-8235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUSH",
        "first_name": "JORDAN",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-26",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "T1712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.