Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1235660176 Individual Practitioner Male Practitioner

Dr. Erik Grimm , DO

Pediatrics • Las Vegas, NV

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Erik Grimm, DO is a certified Pediatrics practicing in Las Vegas, NV. With approximately 9 years of clinical experience since graduating from Touro Un Col Of Osteopathic Medicine, Henderson in 2017, Dr. Grimm delivers high-quality medical care to the local community at 2650 N TENAYA WAY STE 308.

Dr. Grimm accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

2650 N Tenaya Way Ste 308

Las Vegas, NV 891281102

Telephone 7028702099
Fax 7028965347
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Touro Un Col Of Osteopathic Medicine, Henderson

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Las Vegas, NV

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs -9.4 yrs vs City Avg
City Avg: 18.4 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
214 Specialists

Practicing in Las Vegas, NV (391 Statewide)

Telehealth Adoption Rate
0.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Grimm (9 Years) 9 Yrs
Las Vegas Specialty Average (18.4 Years) 18.4 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-12-08
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License NV DO3964

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License OR DO196972

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1235660176 (NV)
Commercial Insurance / Payer ID License
DO3964 (NV)

Secondary Practice Locations

16463 Boones Ferry Rd Ste 400

Lake Oswego, OR 970354377

Phone: 5036353743

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
NPI 1073515680

Doctor of Osteopathic Medicine (D.O.)

NPI 1124657036

Doctor of Medicine (M.D.)

NPI 1154323855

Doctor of Medicine (M.D.)

David Rafferty

Pediatrics

NPI 1326400912
Jeffery Tackett , APRN, PPCNP-C

Nurse Practitioner - Pediatrics

NPI 1376956789

Advanced Practice Registered Nurse, PPCNPC

Candace Moore , PA-C

Physician Assistant - Medical

NPI 1568555282

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location December 08, 2025

Registered at 2650 N TENAYA WAY STE 308, LAS VEGAS, NV 891281102 (Tel: 7028702099)

📍
Updated Business Mailing Address December 08, 2025

Registered at 6355 S BUFFALO DR FL 3, LAS VEGAS, NV 891132133 (Tel: 7022163346)

📍
Updated Practice Location June 23, 2020

Registered at 16463 BOONES FERRY RD STE 400, LAKE OSWEGO, OR 970354377 (Tel: 5036353743)

📍
Updated Business Mailing Address June 23, 2020

Registered at 16463 BOONES FERRY RD STE 400, LAKE OSWEGO, OR 970354377 (Tel: 5036353743)

👤
Provider Name / Credentials Updated June 23, 2020

Recorded as ERIK GRIMM, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 23, 2020

Pediatrics (License #DO196972 in OR)

NPI Profile Active March 22, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 22, 2017

Registered at 2211 LOMAS BLVD NE, ALBUQUERQUE, NM 871062719 (Tel: 5052725551)

📍
Updated Business Mailing Address March 22, 2017

Registered at 933 BRADBURY DR SE, SUITE 2222, ALBUQUERQUE, NM 871064374 (Tel: 5052723120)

👤
Provider Name / Credentials Updated March 22, 2017

Recorded as ERIK GRIMM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 22, 2017

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 22, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1235660176
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 22, 2017
Last Update: December 08, 2025
Sole Proprietor: No

Mailing Address

6355 S Buffalo Dr Fl 3

Las Vegas, NV 891132133

Phone: 7022163346

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.