KENNETH DOUGLAS GRANT (M.D.) – Rheumatology Physician, NPI 1093793796

KENNETH DOUGLAS GRANT (M.D.) is a healthcare provider. based in Henderson, Nevada. specializing in Rheumatology Physician. They hold the professional credentials M.D.. They hold a License No. 9894 (NV). The NPI Number for KENNETH DOUGLAS GRANT (M.D.) is 1093793796

Main info

Male
51 Years Of Experience
Accepts Medicare Assignment
Name
KENNETH DOUGLAS GRANT (M.D.)
NPI
1093793796
Phone
(702) 777-4809
Address
874 AMERICAN PACIFIC DR
Enumeration Date
4 January 2006
Last Update Date
27 October 2020

Doctor Profile

Medical School Name
GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7027774809
Graduation Year
1975 (51 years ago)
PAC ID
7214119767
Group Practice PAC ID
6800966375
Professional Enrollment ID
I20110304000686
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for KENNETH DOUGLAS GRANT (M.D.)

  • American Pacific Drive, Henderson, Clark County, Nevada, 89014, United States

    HENDERSON, NV 890148800

    Phone: (702) 777-4809

    Fax: (702) 777-4822

    Type: Location

  • 1801 W OLYMPIC BLVD # 2265

    PASADENA, CA 911990001

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $41.

Total Amount is formed as General ($41) + Research ($0) + Ownership ($0) = $41.

Last reported payment date: 2023-12-01 • Largest payer in this snapshot: Horizon Therapeutics plc ($26).

Total Amount

$41

General + Research + Ownership

Payments

2

Total payment records

General Amount

$41

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-01

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2011-03-04

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
I20110304000686IRheumatologyNVTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes11172$0
99213Established patient office or other outpatient visit, 20-29 minutes4636$0
99205New patient office or other outpatient visit, 60-74 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 89014)

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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: 6800966375View full group profile
NameSpecialtyState
Osteopathic Manipulative Medicine, Family PracticeNV
Osteopathic Manipulative MedicineOR
-FL
Osteopathic Manipulative MedicineCA
Osteopathic Manipulative Medicine, General PracticeCA
-CA
-CA
Osteopathic Manipulative MedicineNV
-CA
Osteopathic Manipulative MedicineCA

Reviews

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Frequently asked questions

What unique ID ties claims to KENNETH DOUGLAS GRANT (M.D.)?
NPI 1093793796 is assigned to KENNETH DOUGLAS GRANT (M.D.) under the national enumeration system.
Is KENNETH DOUGLAS GRANT (M.D.) currently active in the NPI registry?
CMS-published data lists KENNETH DOUGLAS GRANT (M.D.) as an active registrant.
What kind of provider is KENNETH DOUGLAS GRANT (M.D.)?
The page reflects Rheumatology Physician for KENNETH DOUGLAS GRANT (M.D.). Clinical services aligned with this taxonomy classification.
Does KENNETH DOUGLAS GRANT (M.D.) practice in Nevada?
You will see Henderson, Nevada on file for KENNETH DOUGLAS GRANT (M.D.) alongside any extra practice locations.
What if Henderson, Nevada seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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