Las Vegas Medical Group Llc - Medicare Primary Care in Las Vegas, NV

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Las Vegas Medical Group Llc is a medicare enrolled primary clinic (Internal Medicine) in Las Vegas, Nevada. The current practice location for Las Vegas Medical Group Llc is 6850 N Durango Dr Ste 208, Las Vegas, Nevada. For appointments, you can reach them via phone at (702) 835-9870. The mailing address for Las Vegas Medical Group Llc is 367 S Gulph Rd, King Of Prussia, Pennsylvania and phone number is (775) 356-9393.

Las Vegas Medical Group Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1447656988. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (702) 835-9870.

Contact Information

Las Vegas Medical Group Llc
6850 N Durango Dr Ste 208
Las Vegas
NV 89149-4596
(702) 835-9870
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameLas Vegas Medical Group Llc
SpecialityInternal Medicine
Location6850 N Durango Dr Ste 208, Las Vegas, Nevada
Authorized Official Name and PositionTodd Evans (VP)
Authorized Official Contact6107683300
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Las Vegas Medical Group Llc
367 S Gulph Rd
King Of Prussia
PA 19406-3121

Ph: (775) 356-9393		Las Vegas Medical Group Llc
6850 N Durango Dr Ste 208
Las Vegas
NV 89149-4596

Ph: (702) 835-9870

NPI Details:

NPI Number1447656988
Provider Enumeration Date11/11/2014
Last Update Date08/17/2020

Medicare PECOS Information:

Medicare PECOS PAC ID6800118522
Medicare Enrollment IDO20141209001376

Medical Identifiers

Medical identifiers for Las Vegas Medical Group Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447656988NPI-NPPES
1447656988MedicaidNV

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Primary
207V00000XObstetrics & Gynecology (* (Not Available))Secondary
208600000XSurgery (* (Not Available))Secondary
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) (* (Not Available))Secondary
208M00000XHospitalist (* (Not Available))Secondary
363L00000XNurse Practitioner (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Las Vegas Medical Group Llc acts as a billing entity for following providers:
Provider NameGregory T Sholeff
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1104924448
PECOS PAC ID: 8921096702
Enrollment ID: I20040501000355
Provider NameRoehl T Pena
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1770520306
PECOS PAC ID: 3678554821
Enrollment ID: I20040525001145
Provider NameQuynh Feikes
Provider TypePractitioner - Cardiac Surgery
Provider IdentifiersNPI Number: 1841327269
PECOS PAC ID: 3375521685
Enrollment ID: I20040713000374
Provider NameAndra L Prum
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1326026824
PECOS PAC ID: 6901885318
Enrollment ID: I20040719000976
Provider NameHazem Y Afifi
Provider TypePractitioner - Cardiac Surgery
Provider IdentifiersNPI Number: 1740455229
PECOS PAC ID: 5698747830
Enrollment ID: I20040809001210
Provider NameNauman Jahangir
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1326188558
PECOS PAC ID: 9537107354
Enrollment ID: I20050421001377
Provider NameLoring B Jacobs
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1467525055
PECOS PAC ID: 9931136595
Enrollment ID: I20050726000110
Provider NameScott T Gabriel
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1699757930
PECOS PAC ID: 0345275905
Enrollment ID: I20051003000252
Provider NameWilliam R Shoemaker
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1891868352
PECOS PAC ID: 3274558267
Enrollment ID: I20051010000076
Provider NameLeslie C Jacobs
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1831262393
PECOS PAC ID: 0941225932
Enrollment ID: I20051010000136
Provider NameGeorge D Foster
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1679558159
PECOS PAC ID: 0941223952
Enrollment ID: I20060105000200
Provider NameCarmelo Herrero
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1619078607
PECOS PAC ID: 8426940396
Enrollment ID: I20080515000558
Provider NameGregory Baker
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1497775522
PECOS PAC ID: 0143320531
Enrollment ID: I20090624000538
Provider NameBipin Saud
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1346288958
PECOS PAC ID: 7315849262
Enrollment ID: I20091016000340
Provider NameMichelle M Lewis
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1871672931
PECOS PAC ID: 9335334739
Enrollment ID: I20101111000249
Provider NameHanna A Chehade
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1639380587
PECOS PAC ID: 0143417162
Enrollment ID: I20101202001286
Provider NameDennis Chong
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1952353435
PECOS PAC ID: 2961573712
Enrollment ID: I20110406000041
Provider NameCheryl B Broussard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649581083
PECOS PAC ID: 8123290244
Enrollment ID: I20111017000000
Provider NameGuido Albert Torres
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1427108604
PECOS PAC ID: 4880851195
Enrollment ID: I20120127000870
Provider NameRebecca Jo Tyre
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1841354057
PECOS PAC ID: 2062679715
Enrollment ID: I20120207000824
Provider NamePetar Planinic
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1922200054
PECOS PAC ID: 5890973549
Enrollment ID: I20120404000246
Provider NameJonathan M Ricker
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1396843496
PECOS PAC ID: 5799931804
Enrollment ID: I20120806000474
Provider NameRanjit Singh Makar
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1083858997
PECOS PAC ID: 7416103346
Enrollment ID: I20120809000111
Provider NameAngela Detie
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1548229768
PECOS PAC ID: 4183860158
Enrollment ID: I20130820000567
Provider NameBeth A Goldman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1932225695
PECOS PAC ID: 8921190174
Enrollment ID: I20131010000743
Provider NameSylvia C Averitt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366643553
PECOS PAC ID: 1456587716
Enrollment ID: I20131115001401
Provider NameGemma Lim Go
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538585005
PECOS PAC ID: 6709002546
Enrollment ID: I20140730002833
Provider NameChristopher D Mercado
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1629377379
PECOS PAC ID: 3971736083
Enrollment ID: I20140805001321
Provider NameShirley Rodriguez
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1043506744
PECOS PAC ID: 7416175427
Enrollment ID: I20140903001808
Provider NameJackie L Armijo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851465934
PECOS PAC ID: 9638273485
Enrollment ID: I20141120002240
Provider NameCandance M Leaphart-st Cloud
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1700836905
PECOS PAC ID: 0345253829
Enrollment ID: I20150706002109
Provider NameHayat Jawadi
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1821300716
PECOS PAC ID: 7113231861
Enrollment ID: I20150807015689
Provider NameCharles H Chesnut
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1972823532
PECOS PAC ID: 0244471779
Enrollment ID: I20160420002090
Provider NameMohammed Raphi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710351184
PECOS PAC ID: 8820388937
Enrollment ID: I20160601002993
Provider NameMuthena A Maklad
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1609118959
PECOS PAC ID: 6901028323
Enrollment ID: I20160902001786
Provider NameHossein Akhondi Asl
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1609862051
PECOS PAC ID: 1557313137
Enrollment ID: I20161122002516
Provider NameKatrina J Mercado
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1801138573
PECOS PAC ID: 2163655275
Enrollment ID: I20170130000647
Provider NameAnees Arshad
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1487760807
PECOS PAC ID: 5799722872
Enrollment ID: I20170321001528
Provider NameSheeba Kureekattil
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144769035
PECOS PAC ID: 1951686088
Enrollment ID: I20170425001147
Provider NameHarbinder Singh
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1124061288
PECOS PAC ID: 2668482613
Enrollment ID: I20170728002338
Provider NameUrsula Inge Ferguson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1053327809
PECOS PAC ID: 8628334117
Enrollment ID: I20171116001920
Provider NameGennadiy Plotnitskiy
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1891011359
PECOS PAC ID: 6507133667
Enrollment ID: I20180306002420
Provider NameYing Zhao
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1881896314
PECOS PAC ID: 7517041064
Enrollment ID: I20180510001332
Provider NameFred Thomas J Lee
Provider TypePractitioner - Plastic And Reconstructive Surgery
Provider IdentifiersNPI Number: 1457593238
PECOS PAC ID: 2264781459
Enrollment ID: I20180821003525
Provider NameJody Falkowitz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194297663
PECOS PAC ID: 3577802768
Enrollment ID: I20190306000757
Provider NameMicheal S Mcgrew
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1912355066
PECOS PAC ID: 4183919962
Enrollment ID: I20190722000865
Provider NameSteven Poertner
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1467834143
PECOS PAC ID: 1557678083
Enrollment ID: I20190823003066
Provider NameAshley R Major
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1962852103
PECOS PAC ID: 1557659695
Enrollment ID: I20191121001176
Provider NameBarbara E Wotherspoon
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1619919198
PECOS PAC ID: 9436135951
Enrollment ID: I20200219001498
Provider NameAnna Zabek
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609408855
PECOS PAC ID: 9638506520
Enrollment ID: I20200306000364
Provider NameJustin Leeka
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1053848689
PECOS PAC ID: 9032489083
Enrollment ID: I20200610002293
Provider NameRommel De Vera
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1407383904
PECOS PAC ID: 3870863848
Enrollment ID: I20200611001883
Provider NameMahmoud R Moghadam
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992327712
PECOS PAC ID: 5092139220
Enrollment ID: I20200721003960
Provider NameMujeeb Shad
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1871519041
PECOS PAC ID: 1759340748
Enrollment ID: I20200728001071
Provider NameAngela M Mike
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1770038929
PECOS PAC ID: 1254605678
Enrollment ID: I20200821001458
Provider NameDragana Tomic
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194350371
PECOS PAC ID: 1456770577
Enrollment ID: I20200923000981
Provider NameFortune Egbulefu
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1497002471
PECOS PAC ID: 1254556277
Enrollment ID: I20210219001724
Provider NameMark Gottlieb
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1174843643
PECOS PAC ID: 4880881598
Enrollment ID: I20210322001934
Provider NameDanielle R Pringle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063092849
PECOS PAC ID: 5597164194
Enrollment ID: I20210602001723
Provider NameChea Lu
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1194216457
PECOS PAC ID: 2961808852
Enrollment ID: I20210831003708
Provider NameEasterlyn Luzod Mendoza
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578036919
PECOS PAC ID: 9739577560
Enrollment ID: I20211028001276
Provider NameSean C Liyanage
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1922663228
PECOS PAC ID: 4789086018
Enrollment ID: I20211122000624
Provider NameMatthew Swenson
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1679717730
PECOS PAC ID: 0648584896
Enrollment ID: I20211208002302
Provider NameKetan Kantilal Thanki
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1093058869
PECOS PAC ID: 1850782475
Enrollment ID: I20211215001522
Provider NameAndre Small
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1043708969
PECOS PAC ID: 0840682480
Enrollment ID: I20220111002946
Provider NameMeredith Heberer
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1538484456
PECOS PAC ID: 8820373616
Enrollment ID: I20220217001176
Provider NameGireesh K Raman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902552409
PECOS PAC ID: 6002201803
Enrollment ID: I20220314001438
Provider NameSiri Gadde
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1326510132
PECOS PAC ID: 5799162293
Enrollment ID: I20220523002631
Provider NameKam-lin Dean Gregory
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1780135145
PECOS PAC ID: 5294011995
Enrollment ID: I20220622001079
Provider NameNatalia L Mcgrew
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1336704378
PECOS PAC ID: 5193124196
Enrollment ID: I20220802001139
Provider NameColin Daniel Kennedy
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1447593504
PECOS PAC ID: 2163746900
Enrollment ID: I20220824001331
Provider NameAllen Sung
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1588197552
PECOS PAC ID: 9032585195
Enrollment ID: I20221014002390
Provider NameChandni Anand
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1518908862
PECOS PAC ID: 0143286757
Enrollment ID: I20230413000887
Provider NamePaula Sy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871281535
PECOS PAC ID: 4284093782
Enrollment ID: I20230630001450
Provider NameReychelle C Morales
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699546218
PECOS PAC ID: 0648610147
Enrollment ID: I20240501001921

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.