DR. INDERVIR S GREWAL MD
NPI 1366704652
Anesthesiology - Pain Medicine in Las Vegas, NV

Active since June 12, 2012PECOS EnrolledAccepts Medicare Assignment
2040 W CHARLESTON BLVD STE 504, LAS VEGAS, NV 89102(702) 671-6437 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 17, 2021, Apr 21, 2017 (2 updates tracked since 2017).

About Dr. Indervir S Grewal Md NPPES

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

DR. INDERVIR S GREWAL MD (NPI 1366704652) is an individual pain medicine provider in Las Vegas, Nevada, licensed in California (A139470) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1366704652
Entity TypeIndividualMale
Primary Taxonomy207LP2900X
Provider Legal NameDR. INDERVIR S GREWALCredential: MD
Location Address2040 W CHARLESTON BLVD STE 504Las Vegas, NV 89102-2207
Mailing Address2040 W Charleston Blvd Ste 504Las Vegas, NV 89102-2207 · (702) 671-6437
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJune 12, 2012
Last NPPES UpdateDecember 17, 20212 updates tracked since enumeration
NPI 1366704652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
License Licensed in CA · A139470
Definition

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

2040 W CHARLESTON BLVD STE 504, Las Vegas, NV 89102

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Indervir S Grewal Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID244508372
PECOS Enrollment IDI20170614001710
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
2040 W CHARLESTON BLVD STE 504
LAS VEGAS, NV 89102
Student in an Organized Health Care Education/Training Program
2040 W CHARLESTON BLVD STE 504
LAS VEGAS, NV 89102
Pediatrics
2040 W CHARLESTON BLVD STE 504
LAS VEGAS, NV 89102
Psychiatry & Neurology (Psychiatry)
2040 W CHARLESTON BLVD STE 504
LAS VEGAS, NV 89102
Anesthesiology
2040 W CHARLESTON BLVD STE 504
LAS VEGAS, NV 89102
Psychiatry & Neurology (Psychiatry)
2040 W CHARLESTON BLVD STE 504
LAS VEGAS, NV 89102
Emergency Medicine
2040 W CHARLESTON BLVD STE 504
LAS VEGAS, NV 89102
Radiology (Diagnostic Radiology)
2040 W CHARLESTON BLVD STE 504
LAS VEGAS, NV 89102

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366704652, enumerated as an "individual" on June 12, 2012.

The provider is located at 2040 W CHARLESTON BLVD STE 504 LAS VEGAS, NV 89102 and the phone number is (702) 671-6437.

Anesthesiology with taxonomy code 207LP2900X and a focus in Pain Medicine.