DOMINIQUE ROSE GRAYEB DO
NPI 1629763941
Student in an Organized Health Care Education/Training Program in Albuquerque, NM

Q: What is Dominique Grayeb's NPI number?

The NPI number for Dominique Grayeb is 1629763941. It was assigned to this individual provider in the NPPES registry on April 11, 2023.

Q: What is Dominique Grayeb's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Dominique Grayeb was last updated on April 11, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 11, 2023PECOS Enrolled

MSC10 5610 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131(505) 272-4161(505) 272-2776 Get Directions Write a Review

NPPES record last updated: April 11, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Dominique Rose Grayeb Do NPPES

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

DOMINIQUE ROSE GRAYEB DO (NPI 1629763941) is an individual student in an organized health care education/training program in Albuquerque, New Mexico and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629763941

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDOMINIQUE ROSE GRAYEBCredential: DO

Location AddressMSC10 5610 1 UNIVERSITY OF NEW MEXICOAlbuquerque, NM 87131-0001

Mailing AddressMsc10 5610 1 University Of New MexicoAlbuquerque, NM 87131-0001 · (505) 272-4161 · Fax (505) 272-2776

Phone(505) 272-4161

Fax(505) 272-2776

Sole ProprietorNo

Enumeration DateApril 11, 2023

NPPES CertifiedApril 11, 2023

✔ NPI 1629763941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

MSC10 5610 1 UNIVERSITY OF NEW MEXICO, Albuquerque, NM 87131

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dominique Rose Grayeb Do 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.

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.

YAZMIN IRAZOQUI-RUIZ MD

Student in an Organized Health Care Education/Training Program