MR. GRISSIM CLARK CONNERY DO, RD
NPI 1427317155
Internal Medicine in Las Vegas, NV

Q: What is Grissim Connery's NPI number?

The NPI number for Grissim Connery is 1427317155. It was assigned to this individual provider in the NPPES registry on May 15, 2012.

Q: What is Grissim Connery's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Grissim Connery was last updated on July 10, 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.

Active since May 15, 2012PECOS Enrolled

1707 W CHARLESTON BLVD STE 100, LAS VEGAS, NV 89102(702) 676-3650(702) 671-5198 Get Directions Write a Review

NPPES record last updated: July 10, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 10, 2024, Jun 27, 2024, Apr 7, 2021 (3 updates tracked since 2021).

On this page

About Mr. Grissim Clark Connery Do, Rd NPPES

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

MR. GRISSIM CLARK CONNERY DO, RD (NPI 1427317155) is an individual internal medicine provider in Las Vegas, Nevada, licensed in Nevada (DO3640) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS and maintains a secondary practice location in Las Vegas.

NPPES Registry Identity

NPI1427317155

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameMR. GRISSIM CLARK CONNERYCredential: DO, RD

Location Address1707 W CHARLESTON BLVD STE 100Las Vegas, NV 89102-2352

Mailing Address3016 W Charleston Blvd Ste 100Las Vegas, NV 89102-1973 · (702) 780-2315 · Fax (702) 895-4014

Phone(702) 676-3650

Fax(702) 671-5198

Sole ProprietorNo

Enumeration DateMay 15, 2012

Last NPPES UpdateJuly 10, 20243 updates tracked since enumeration

NPPES CertifiedJuly 10, 2024

✔ NPI 1427317155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NV · DO3640

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedDietitian, RegisteredTaxonomy 133V00000X · License 1086129 (IL)

1707 W CHARLESTON BLVD STE 100, Las Vegas, NV 89102

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Secondary Practice Location 1

Location 11701 W Charleston Blvd Ste 230Las Vegas, NV 89102-2312 · Phone (702) 660-8658 · Fax (702) 676-3635

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Grissim Clark Connery Do, Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Grissim Connery reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Unlv Medicine

1.0 mi

Internal Medicine

3016 W CHARLESTON BLVD STE 100
Las Vegas, NV 89102

Reassigned Medicare billing, Nevada enrollment
286 clinicians in this Medicare group

NPI 1407397235 (702) 895-0497

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

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

46 services24 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

37 services18 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

24 services24 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

15 services13 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$131.25 typical visit price

range $57.07 – $173.24

Typical copayment $32.81 (range $14.26 – $43.31)

Most-billed visit code 99204

Established Patient

$100.60 typical visit price

range $18.27 – $140.96

Typical copayment $25.15 (range $4.56 – $35.24)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

ANDREW TYLER PHAM

Student in an Organized Health Care Education/Training Program