Individual provider Active NPI

Eric M Wolfson, D.O.

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1023044773
Registry record updated Nov 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036103109 Issued in NV
Practice address
6803 W Tropicana Ave
Ste #100
Las Vegas, NV 89103-4926
Phone
(702) 452-2525
Fax
(702) 452-2534
NPI assigned
Jun 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036103109 NV Primary

Addresses

Primary practice location

6803 W Tropicana Ave
Ste #100
Las Vegas, NV 89103-4926

Mailing address

10788 Rivendell Ave
Las Vegas, NV 89135-1803
Phone (702) 566-5343

Other identifiers 1

IdentifierTypeStateIssuer
002018654MedicaidNV

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
I20040309001221 NV Practitioner - Internal Medicine 9931097003 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wolfson and Wolfson LLPGroup PAC ID 9335182310, 2 clinicians

Practice addresses (Care Compare)

2655 Box Canyon Dr
Las Vegas, NV 89128-1119
Phone (702) 363-9900

6803 W Tropicana Ave
Suite 100
Las Vegas, NV 89103-4927
Phone (702) 452-2525

Hospital & facility affiliations

  • Care First Home Health Care Home health agency, Las Vegas, NV, CCN 297143
  • Caring Nurses Inc Home health agency, Las Vegas, NV, CCN 297068
  • Lorian Health Home health agency, Las Vegas, NV, CCN 297099
  • Solutions Home Health Care Home health agency, Las Vegas, NV, CCN 297242
  • Palmeira Home Healthcare Home health agency, Las Vegas, NV, CCN 297112
  • Mountainview Hospital Hospital, Las Vegas, NV, CCN 290039

Merit-based Incentive Payment System (MIPS)

Final score
88.69 of 100Reported as apm
Quality
80.87
Promoting interoperability
90
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036103109NVMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wolfson & Wolfson LLP CurrentSince Apr 1, 2005 Accepting new patients
Wolfson Medical Center at Tenaya Past Accepting new patients
Spring Valley Medical Center Past Accepting new patients
Goldsmith Healthcare, LTD Internal Medicine Past Accepting new patients
Wolfson Medical Center Pharmacy Past Accepting new patients

Locations

2655 Box Canyon Dr
Las Vegas, NV 89128
Phone (702) 363-9900

6803 W Tropicana Ave
Ste 100
Las Vegas, NV 89103
Phone (702) 452-2525

921 Las Vegas Blvd S
Las Vegas, NV 89101
Phone (702) 755-2401

Organizations & group practices 5

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

Hospital & facility affiliations 6

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": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196035200000",
    "number": "1023044773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10788 RIVENDELL AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891351803",
            "telephone_number": "702-566-5343",
            "fax_number": "702-566-4549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6803 W TROPICANA AVE",
            "address_2": "STE #100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891034926",
            "telephone_number": "702-452-2525",
            "fax_number": "702-452-2534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFSON",
        "first_name": "ERIC",
        "middle_name": "M",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-24",
        "last_updated": "2007-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "036103109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002018654",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.