SARA GRANDY RD
NPI 1386066645
Dietitian, Registered in Albuquerque, NM
About Sara Grandy Rd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SARA GRANDY RD (NPI 1386066645) is an individual dietitian, registered in Albuquerque, New Mexico and active in the NPI registry since January 2014. She maintains a secondary practice location in Albuquerque.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sara Grandy Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Sara Grandy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Albuquerque, NM 87109
- Reassigned Medicare billing, New Mexico enrollment
- 554 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Sara Grandy's NPI number?
The NPI number for Sara Grandy is 1386066645. It was assigned to this individual provider in the NPPES registry on January 6, 2014.
Where is Sara Grandy located?
Sara Grandy practices at 4420 Irving Blvd NW, Albuquerque, NM 87114. The listed phone number is (505) 727-2790.
What is Sara Grandy's specialty?
The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.
Is Sara Grandy enrolled in Medicare?
Yes. Sara Grandy is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Sara Grandy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sara Grandy reassigns Medicare benefits to Southwest Medical Associates, LLC (Albuquerque, NM). The 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 Sara Grandy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Sara Grandy was last updated on February 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Sara Grandy, RD · NPI 1386066645
Dietitian, Registered provider in Albuquerque, New Mexico. Individual provider, active in the CMS NPPES registry since January 6, 2014.
## Identity
- **NPI:** 1386066645 (Entity type: Individual)
- **Enumerated:** January 6, 2014
- **Primary specialty:** Dietitian, Registered · taxonomy 133V00000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4420 IRVING BLVD NW, Albuquerque, NM 87114-5915
- **Phone:** (505) 727-2790
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Southwest Medical Associates, LLC (NPI 1164491072, Albuquerque, NM), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 19, 2024
- **Other identifiers:** Other LD2023054 (NM)
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Source: [NPI Profile](https://npiprofile.com/npi/1386066645) · Data from the CMS NPPES public registry.