DR. GABRIELLE J GRUNDY (MD) – Obstetrics & Gynecology Physician, NPI 1790911238

DR. GABRIELLE J GRUNDY (MD) is a healthcare provider. based in Las vegas, Nevada. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. TP332 (KY). The NPI Number for DR. GABRIELLE J GRUNDY (MD) is 1790911238

Main info

Female
17 Years Of Experience
Name
DR. GABRIELLE J GRUNDY (MD)
NPI
1790911238
Phone
(702) 463-2981
Address
2011 Pinto Ln Ste 103
Enumeration Date
10 June 2009
Last Update Date
6 January 2025

Doctor Profile

Medical School Name
UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Secondary Phone
7023823200
Graduation Year
2009 (17 years ago)
PAC ID
9638312036
Group Practice PAC ID
2163415910
Professional Enrollment ID
I20210907002123
Address ID
NV891064007LA2011XLNXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness75
Years active:16State licenses:4Digital endpointsOther names

339 OBSTETRICS/GYNECOLOGY in NV

Provider Addresses for DR. GABRIELLE J GRUNDY (MD)

  • 2011 Pinto Ln Ste 103

    Las Vegas, NV 891064005

    Phone: (702) 463-2981

    Fax: (702) 462-2883

    Type: Location

  • 6355 S Buffalo Dr Fl 3

    Las Vegas, NV 891132133

    Phone: (702) 255-3547

    Fax: (702) 921-2419

    Type: Location

  • 1180 College Dr

    Rock Springs, WY 829015863

    Phone: (307) 352-8383

    Fax: (307) 352-8477

    Type: Location

  • 81 Ball Park Rd

    Harlan, KY 408311701

    Phone: (606) 573-8100

    Fax: (616) 439-6927

    Type: Location

  • 3600 Cumberland Ave

    Middlesboro, KY 409652614

    Phone: (606) 242-1100

    Fax: (606) 439-6927

    Type: Location

  • Rock Springs Post Office, 107, West Broadway Street, Rock Springs, Sauk County, Wisconsin, 53961, United States

    ROCK SPRINGS, WY 829021359

    Phone: (307) 352-8383

    Fax: (307) 352-8477

    Type: Mailing

  • 1180, College Drive, Blairtown, Rock Springs, Sweetwater County, Wyoming, 82901, United States

    ROCK SPRINGS, WY 829015863

    Phone: (307) 352-8383

    Fax: (307) 352-8477

    Type: Location

  • 6850 N DURANGO DR STE 401

    LAS VEGAS, NV 891494598

    Phone: (702) 463-2981

    Fax: (702) 463-2883

    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: 2021-09-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20191008001128IObstetrics/GynecologyWYTBD
I20210215001715IObstetrics/GynecologyALTBD
I20210907002123IObstetrics/GynecologyNVTBD

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 89106)

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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: 2163415910View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YNV
-NV
O B S T E T R I C S/ G Y N E C O L O G YNV
O B S T E T R I C S/ G Y N E C O L O G YNV
Nurse PractitionerNV
O B S T E T R I C S/ G Y N E C O L O G YNV
O B S T E T R I C S/ G Y N E C O L O G YOR
O B S T E T R I C S/ G Y N E C O L O G YNV
O B S T E T R I C S/ G Y N E C O L O G YTX
O B S T E T R I C S/ G Y N E C O L O G YNV

Reviews

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Frequently asked questions

What is the registry number for DR. GABRIELLE J GRUNDY (MD)?
The registry entry for DR. GABRIELLE J GRUNDY (MD) shows NPI 1790911238.
Is DR. GABRIELLE J GRUNDY (MD)'s NPI status active today?
Active status means DR. GABRIELLE J GRUNDY (MD)'s NPI record is not deactivated in the public file.
Which specialty label fits DR. GABRIELLE J GRUNDY (MD)?
NPPES ties DR. GABRIELLE J GRUNDY (MD) to Obstetrics & Gynecology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit DR. GABRIELLE J GRUNDY (MD) in Las Vegas, Nevada?
For routing, start with Las Vegas, Nevada for DR. GABRIELLE J GRUNDY (MD), then verify phone and hours locally.
Can I export DR. GABRIELLE J GRUNDY (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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