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GRAND MESA NEPHROLOGY PLLC
NPI 1154633220
Internal Medicine - Nephrology in Grand Junction, CO

Active since July 06, 2010CLIA 06D1107393 · Microscopy
2748 CROSSROADS BLVD, GRAND JUNCTION, CO 81506(970) 255-0919(970) 255-0901 Get Directions Write a Review

NPPES record last updated: July 6, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Grand Mesa Nephrology Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRAND MESA NEPHROLOGY PLLC (NPI 1154633220) is a healthcare organization registered as a nephrology in Grand Junction, Colorado and active in the NPI registry since July 2010. The organization holds a CLIA Microscopy certificate valid through September 30, 2028 and lists Grace E Kim, President, as its authorized official.

NPPES Registry Identity

NPI1154633220
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameGRAND MESA NEPHROLOGY PLLC
Location Address2748 CROSSROADS BLVDGrand Junction, CO 81506-3933
Mailing Address7641 Charolais StBillings, MT 59106-9664 · (406) 248-5511 · Fax (406) 248-5540
Phone(970) 255-0919
Fax(970) 255-0901
Organization SubpartNo
Authorized OfficialGrace E KimPresident · (406) 248-5511
Enumeration DateJuly 6, 2010
✔ NPI 1154633220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
2748 CROSSROADS BLVD, Grand Junction, CO 81506
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grand Mesa Nephrology Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Grand Mesa Nephrology PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Joseph Harawi, M.D.
Nephrology
NPI 1154465888
2748 CROSSROADS BLVD
Grand Junction, CO 81506
(617) 306-1985
✔ PECOS✔ Accepts MedicareSame address
Treva Millard, RD
Registered Dietitian or Nutrition Professional
NPI 1669105276
2748 CROSSROADS BLVD
Grand Junction, CO 81506
(970) 255-0919
✔ Accepts MedicareSame address
Alexandra Straight, MD
Nephrology
NPI 1043298854
2748 CROSSROADS BLVD
Grand Junction, CO 81506
(970) 255-0919
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 06D1107393

Grand Mesa Nephrology · Grand Junction, CO
Active · expires Sep 30, 2028
CLIA Number06D1107393
Laboratory TypePhysician Office
Certificate Effective DateOctober 1, 2026
Certificate Expiration DateSeptember 30, 2028
Laboratory DirectorJoseph Harawi
Laboratory Phone(970) 255-0919
Laboratory LocationGrand Mesa Nephrology2748 Crossroads Blvd, Grand Junction, CO 81506
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grand Mesa Nephrology PLLC's NPI number?

The NPI number for Grand Mesa Nephrology PLLC is 1154633220. It was assigned to this organization in the NPPES registry on July 6, 2010.

Where is Grand Mesa Nephrology PLLC located?

Grand Mesa Nephrology PLLC is located at 2748 Crossroads Blvd, Grand Junction, CO 81506. The listed phone number is (970) 255-0919.

What is Grand Mesa Nephrology PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Grand Mesa Nephrology PLLC enrolled in Medicare?

Yes. Grand Mesa Nephrology PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Grand Mesa Nephrology PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Grand Mesa Nephrology PLLC, in Nephrology and Registered Dietitian or Nutrition Professional. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Grand Mesa Nephrology PLLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 06D1107393) is associated with this NPI, valid through September 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Grand Mesa Nephrology PLLC was last updated on July 6, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.