Individual provider Active NPI

Leo R Germin, MD

  • Neurology Physician
  • Henderson, NV
National Provider Identifier
1013928886
Registry record updated Oct 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
7866 Issued in NV
Practice address
1691 West Horizon Ridge Parkway
Henderson, NV 89012-3494
Phone
(702) 804-1212
Fax
(702) 804-1273
NPI assigned
Aug 10, 2006
Last updated
Oct 3, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 7866 NV Primary

Addresses

Primary practice location

1691 West Horizon Ridge Parkway
Henderson, NV 89012-3494

Mailing address

PO Box 530786
Henderson, NV 89053-0786
Phone (702) 804-1574

Other identifiers 1

IdentifierTypeStateIssuer
002019758MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070202000461 NV Practitioner - Neurology 2163401795 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Germin Clinical Neurology WestGroup PAC ID 7810090784, 5 clinicians

Practice addresses (Care Compare)

7751 W Flamingo Rd
Suite A100
Las Vegas, NV 89147-4399
Phone (702) 804-6555

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
50 of 100Reported as individual
Quality
100
Improvement activities
0

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Innotiv Germin Neurology CurrentSince Jul 16, 2004 Accepting new patients

Locations

1399 Galleria Dr
Ste 203
Henderson, NV 89014
Phone (702) 804-1212

1691 W Horizon Ridge Pkwy
Henderson, NV 89012
Phone (702) 804-1212

1691 W Horizon Ridge Pkwy
Ste 100
Henderson, NV 89012
Phone (702) 450-8485

7751 W Flamingo Rd
Ste A100
Las Vegas, NV 89147
Phone (702) 804-6555

Interoperability endpoints

  • Direct secure messaging: leo.germin@cnsnevada.directbygreenway.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380758400000",
    "number": "1013928886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 530786",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890530786",
            "telephone_number": "702-804-1574",
            "fax_number": "702-804-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1691 WEST HORIZON RIDGE PARKWAY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890123494",
            "telephone_number": "702-804-1212",
            "fax_number": "702-804-1273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERMIN",
        "first_name": "LEO",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2013-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NV",
            "license": "7866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002019758",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.