TRACY CANNON GRIKSCHEIT M.D.
NPI 1780777425
Surgery - Pediatric Surgery in Los Angeles, CA
About Tracy Cannon Grikscheit M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRACY CANNON GRIKSCHEIT M.D. (NPI 1780777425) is an individual pediatric surgery provider in Los Angeles, California, licensed in California (A96712) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tracy Cannon Grikscheit M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Tracy Grikscheit reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Los Angeles, CA 90027
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Childrens Hospital Los Angeles Medical Group Inc
- 1,281 clinicians in this Medicare group
Winner, SD 57580
- Reassigned Medicare billing, South Dakota enrollment
- 1,277 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 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
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 Tracy Grikscheit's NPI number?
The NPI number for Tracy Grikscheit is 1780777425. It was assigned to this individual provider in the NPPES registry on October 2, 2006.
Where is Tracy Grikscheit located?
Tracy Grikscheit practices at 4650 Sunset Blvd. Ms# 100, Los Angeles, CA 90027. The listed phone number is (323) 669-2322.
What is Tracy Grikscheit's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.
Is Tracy Grikscheit enrolled in Medicare?
Yes. Tracy Grikscheit is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Tracy Grikscheit's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tracy Grikscheit reassigns Medicare benefits to 2 organizations: Children's Hospital Los Angeles Medical Group, Inc. (Los Angeles, CA) and Avera Mckennan (Winner, SD). Each 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 Tracy Grikscheit'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 Tracy Grikscheit was last updated on May 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Tracy Cannon Grikscheit, M.D. · NPI 1780777425
Pediatric Surgery physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since October 2, 2006.
## Identity
- **NPI:** 1780777425 (Entity type: Individual)
- **Enumerated:** October 2, 2006
- **Primary specialty:** Surgery - Pediatric Surgery · taxonomy 2086S0120X
- **State license:** A96712 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4650 SUNSET BLVD., MS# 100, Los Angeles, CA 90027-6062
- **Phone:** (323) 669-2322 · **Fax:** (323) 666-3466
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Children's Hospital Los Angeles Medical Group, Inc. (NPI 1265530653, Los Angeles, CA); Avera Mckennan (NPI 1912959495, Winner, SD) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 30, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1780777425) · Data from the CMS NPPES public registry.