Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Dyllen Grossman, DO

Individual provider Internal Medicine Physician · NPI 1467802082

Dr. Dyllen Grossman, DO is an Internal Medicine in Henderson, Nevada. Qualified in 2016, 10 years ago. Practices with Internal Medicine Spec of Southern Nv Grossman Panikkar Ghadishah Whi, an 8-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
10
Licensed in
NV
In the registry since
2016
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

10624 S Eastern Ave # A-955
Henderson, NV 89052-2982
Phone: (702) 800-5393
Fax: (702) 407-7016
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence DO2474 (NV)

Record details

NPI number1467802082
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJune 14, 2016
Last updated in NPPESJuly 30, 2019
Mailing address10624 S Eastern Ave # A-955, Henderson, NV 89052-2982

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Internal Medicine Spec Of Southern Nv Grossman Panikkar Ghadishah Whi — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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