DOMINIQUE K GRANT (MD) – Obstetrics & Gynecology Physician, NPI 1164587259

DOMINIQUE K GRANT (MD) is a healthcare provider. based in Spokane, Washington. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 6628 (KS). The NPI Number for DOMINIQUE K GRANT (MD) is 1164587259

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
DOMINIQUE K GRANT (MD)
NPI
1164587259
Phone
(509) 838-4211
Address
105 W 8TH AVE
Enumeration Date
27 December 2006
Last Update Date
21 November 2011

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
5098384211
Graduation Year
2006 (20 years ago)
PAC ID
2567587215
Group Practice PAC ID
1456249861
Professional Enrollment ID
I20100917000526
Address ID
WA992043618SP110XXDRXX412
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,038 OBSTETRICS/GYNECOLOGY in WA

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Provider Addresses for DOMINIQUE K GRANT (MD)

  • 105, West 8th Avenue, Spokane, Spokane County, Washington, 99201, United States

    SUITE 6060

    SPOKANE, WA 992042302

    Phone: (509) 838-4211

    Fax: (509) 838-6432

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $127.

Total Amount is formed as General ($127) + Research ($0) + Ownership ($0) = $127.

Last reported payment date: 2024-08-29 • Largest payer in this snapshot: PFIZER INC. ($69).

Total Amount

$127

General + Research + Ownership

Payments

6

Total payment records

General Amount

$127

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-29

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: 2010-09-17

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
I20100917000526IObstetrics/GynecologyWATBD

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
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination4343$0
99213Established patient office or other outpatient visit, 20-29 minutes3629$0
Q0091Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory3535$0
76830Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina2928$0
View full utilization report →

Insurance plans in this area (ZIP 99204)

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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: 1456249861View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YWA
Physician AssistantWA
O B S T E T R I C S/ G Y N E C O L O G YWA
O B S T E T R I C S/ G Y N E C O L O G YWA
O B S T E T R I C S/ G Y N E C O L O G YNY
O B S T E T R I C S/ G Y N E C O L O G YWA
O B S T E T R I C S/ G Y N E C O L O G YWA

Reviews

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Frequently asked questions

What number should I use to identify DOMINIQUE K GRANT (MD) for billing?
Administrative and clinical systems typically use NPI 1164587259 for DOMINIQUE K GRANT (MD).
Quick check: is DOMINIQUE K GRANT (MD) active?
Public NPPES data shows DOMINIQUE K GRANT (MD) with an active NPI status right now.
How should patients interpret DOMINIQUE K GRANT (MD)'s specialty?
The extract shows Obstetrics & Gynecology Physician for DOMINIQUE K GRANT (MD). Clinical services aligned with this taxonomy classification.
What city is tied to DOMINIQUE K GRANT (MD)?
The directory associates DOMINIQUE K GRANT (MD) with Spokane, Washington. Check all listed addresses for suites or satellite offices.
Who maintains DOMINIQUE K GRANT (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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