GRAND SUMMIT LLC
NPI 1750107199
Community/Behavioral Health in Albuquerque, NM
About Grand Summit Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRAND SUMMIT LLC (NPI 1750107199) is a healthcare organization registered as a community/behavioral health in Albuquerque, New Mexico and active in the NPI registry since December 2024. The organization lists Bakhtar Ehsan, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 Summit Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Grand Summit LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Summit LLC's NPI number?
The NPI number for Grand Summit LLC is 1750107199. It was assigned to this organization in the NPPES registry on December 2, 2024.
Where is Grand Summit LLC located?
Grand Summit LLC is located at 13139 Central Ave NE, Albuquerque, NM 87123. The listed phone number is (505) 595-1607.
What is Grand Summit LLC's specialty?
The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.
Is Grand Summit LLC enrolled in Medicare?
Yes. Grand Summit LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Grand Summit LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Grand Summit LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Grand Summit LLC was last updated on May 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.
# Grand Summit Llc · NPI 1750107199
Community/Behavioral Health organization in Albuquerque, New Mexico. Organization record, active in the CMS NPPES registry since December 2, 2024.
## Identity
- **NPI:** 1750107199 (Entity type: Organization)
- **Enumerated:** December 2, 2024
- **Primary specialty:** Community/Behavioral Health · taxonomy 251S00000X
- **Organization subpart:** No
- **Authorized official:** Bakhtar Ehsan, CFO
## Practice location
- **Address:** 13139 CENTRAL AVE NE, Albuquerque, NM 87123-3031
- **Phone:** (505) 595-1607
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Social Worker) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 20, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1750107199) · Data from the CMS NPPES public registry.