DR. GWENDOLYN GRANT M.D.
NPI 1841395357
Internal Medicine - Rheumatology in Durango, CO
About Dr. Gwendolyn Grant M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. GWENDOLYN GRANT M.D. (NPI 1841395357) is an individual rheumatology provider in Durango, Colorado, licensed in Colorado (DR.0044790) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with San Juan Regional Medical Center Inc, and is a graduate of Yale University School Of Medicine (1991).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Gwendolyn Grant M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
4Medicare enrollment records show Gwendolyn Grant reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Durango, CO 81301
- Reassigned Medicare billing, Colorado enrollment
- 1,193 clinicians in this Medicare group
Ignacio, CO 81137
- Reassigned Medicare billing, Texas enrollment
- 9 clinicians in this Medicare group
Towaoc, CO 81334
- Reassigned Medicare billing, Texas enrollment
- 11 clinicians in this Medicare group
Shiprock, NM 87420
- Reassigned Medicare billing, Texas enrollment
- 572 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.
Areas of Expertise CMS Part B claims 3
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
San Juan Regional Medical Center Inc
Acute Care Hospitals · Farmington, NMNorthern Navajo Medical Center
Acute Care Hospitals · Shiprock, NMPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 81301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES
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 Gwendolyn Grant's NPI number?
The NPI number for Gwendolyn Grant is 1841395357. It was assigned to this individual provider in the NPPES registry on September 13, 2006.
Where is Gwendolyn Grant located?
Gwendolyn Grant practices at 1010 Three Springs Blvd Ste 275, Durango, CO 81301. The listed phone number is (970) 764-3740.
What is Gwendolyn Grant's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.
Is Gwendolyn Grant enrolled in Medicare?
Yes. Gwendolyn Grant is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Gwendolyn Grant's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gwendolyn Grant reassigns Medicare benefits to 4 organizations: Catholic Health Initiatives Colorado (Durango, CO), Southern Ute Indian Tribe (Ignacio, CO), Southern Colorado Ute Service Unit (Towaoc, CO) and Dhhs, Phs, Naihs, Shiprock Hospital (Shiprock, NM). 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 Gwendolyn Grant's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Gwendolyn Grant accept?
Health plans from University of Utah Health Plans list Gwendolyn Grant as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Gwendolyn Grant affiliated with any hospitals?
According to CMS data, Gwendolyn Grant is affiliated with San Juan Regional Medical Center Inc and Northern Navajo Medical Center.
When was this NPI record last updated?
The NPPES record for Gwendolyn Grant was last updated on January 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Dr. Gwendolyn Grant, M.D. · NPI 1841395357
Rheumatology physician in Durango, Colorado. Individual provider, active in the CMS NPPES registry since September 13, 2006.
## Identity
- **NPI:** 1841395357 (Entity type: Individual)
- **Enumerated:** September 13, 2006
- **Primary specialty:** Internal Medicine - Rheumatology · taxonomy 207RR0500X
- **State license:** DR.0044790 (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 1010 THREE SPRINGS BLVD STE 275, Durango, CO 81301-8296
- **Phone:** (970) 764-3740 · **Fax:** (970) 764-3643
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Catholic Health Initiatives Colorado (NPI 1114329745, Durango, CO); Southern Ute Indian Tribe (NPI 1407883309, Ignacio, CO); Southern Colorado Ute Service Unit (NPI 1255422788, Towaoc, CO); Dhhs, Phs, Naihs, Shiprock Hospital (NPI 1780639971, Shiprock, NM) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Yale University School Of Medicine, class of 1991
## Record status
- **NPPES last updated:** January 17, 2018
- **Other identifiers:** Medicaid 428822 (AZ); Medicaid R4911 (NM); Medicaid 85030872 (CO)
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Source: [NPI Profile](https://npiprofile.com/npi/1841395357) · Data from the CMS NPPES public registry.