MICHAEL GROSS (DO) – Anesthesiology Physician, NPI 1053999425

MICHAEL GROSS (DO) is a healthcare provider. based in Nellis afb, Nevada. specializing in ANESTHESIOLOGY. They hold the professional credentials DO. They hold a License No. OS21443 (FL). The NPI Number for MICHAEL GROSS (DO) is 1053999425

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL GROSS (DO)
NPI
1053999425
Phone
(702) 653-2273
Address
4700 LAS VEGAS BLVD N
Enumeration Date
29 March 2021
Last Update Date
8 July 2025

Doctor Profile

Medical School Name
OHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
7029618434
Graduation Year
2021 (5 years ago)
PAC ID
9830606946
Group Practice PAC ID
5799683462
Professional Enrollment ID
I20250724001992
Address ID
NV891092317LA3186XPKWY400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:5State licenses:2Digital endpointsOther names

555 ANESTHESIOLOGY in NV

Provider Addresses for MICHAEL GROSS (DO)

  • 4700 LAS VEGAS BLVD N

    NELLIS AFB, NV 891916600

    Phone: (702) 653-2273

    Type: Mailing

  • 8201 W BROWARD BLVD

    PLANTATION, FL 333242701

    Phone: (954) 723-1206

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-07-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250724001992IAnesthesiologyNVTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 89191)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5799683462View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YRI
A N E S T H E S I O L O G YOH
Certified Registered Nurse Anesthetist (Crna)NV
A N E S T H E S I O L O G YNV
-NV
A N E S T H E S I O L O G YNV
Certified Registered Nurse Anesthetist (Crna)NV
Certified Registered Nurse Anesthetist (Crna)TX
-NV

Reviews

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Frequently asked questions

Does MICHAEL GROSS (DO) have a public NPI I can cite?
Public records show MICHAEL GROSS (DO) under NPI 1053999425.
Is MICHAEL GROSS (DO) currently accepting referrals based on NPI status?
Registry metadata lists MICHAEL GROSS (DO) as active.
What does the directory say MICHAEL GROSS (DO) does?
Insurance directories may phrase it differently, but here MICHAEL GROSS (DO) maps to Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MICHAEL GROSS (DO)?
MICHAEL GROSS (DO) is associated with Nellis Afb, Nevada in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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