NPIMap

Individual provider Active NPI

Michael J Crovetti Jr., DO

  • Orthopaedic Surgery Physician
  • Henderson, NV
National Provider Identifier
1033269147
Registry record updated Oct 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
834 Issued in NV
Practice address
2779 W. Horizon Ridge Pkwy.
Ste. 200
Henderson, NV 89052-4380
Phone
(702) 990-2290
Fax
(702) 990-2297
NPI assigned
Jan 11, 2007
Last updated
Oct 12, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 834 NV Primary

Addresses

Primary practice location

2779 W. Horizon Ridge Pkwy.
Ste. 200
Henderson, NV 89052-4380

Mailing address

2779 W. Horizon Ridge Pkwy.
Ste. 200
Henderson, NV 89052-4380
Phone (702) 990-2290

Other identifiers 1

IdentifierTypeStateIssuer
002018103MedicaidNV

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040702000225 NV Practitioner - Orthopedic SurgeryPractitioner - Other (Physician) 3779481197 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Rowan University School of Osteopathic Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crovetti Bone and Joint Institute of Southern NevadaGroup PAC ID 8527966936, 12 clinicians

Practice addresses (Care Compare)

2779 W Horizon Ridge Pkwy
Suite 200
Henderson, NV 89052-4186
Phone (702) 990-2290

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.73 of 100Reported as group
Quality
100
Improvement activities
40
Cost
59.09

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement13
Knee replacement24
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hodges PLLC CurrentSince Mar 19, 2023 Accepting new patients
SRS Home Health LLC Current Accepting new patients
Crovetti Bone and Joint Institute of Southern Nevada CurrentSince Aug 1, 2000 Accepting new patients
Queensridge Surgery Center CurrentSince Feb 23, 2023 Accepting new patients
Crovetti Bone and Joint Institute of So. NV Past Accepting new patients
Desert Springs Hospital Past Accepting new patients
Robert C Gutierrez MD Past Accepting new patients
Coronado Surgery Center, LLC PastSince Dec 22, 2008 Accepting new patients
Healthcare Partners Medical Group (Coats) LTD. Past Accepting new patients
Crovetti Bone and Joint Institute Past Accepting new patients

Locations

10001 S Eastern Ave
Ste 102
Henderson, NV 89052
Phone (702) 260-6565

2779 W Horizon Ridge Pkwy
Ste 130
Henderson, NV 89052
Phone (702) 589-4975

2779 W Horizon Ridge Pkwy
Ste 140
Henderson, NV 89052
Phone (702) 562-3590

2779 W Horizon Ridge Pkwy
Ste 200
Henderson, NV 89052
Phone 7029902290222

880 Seven Hills Dr
Ste 100
Henderson, NV 89052
Phone (702) 457-5437

10040 Alta Dr
Ste 140
Las Vegas, NV 89145

851 S Rampart Blvd
Ste 260
Las Vegas, NV 89145
Phone (702) 813-7200

Organizations & group practices 12

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": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444608000000",
    "number": "1033269147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2779 W. HORIZON RIDGE PKWY.",
            "address_2": "STE. 200",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524380",
            "telephone_number": "702-990-2290",
            "fax_number": "702-990-2297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2779 W. HORIZON RIDGE PKWY.",
            "address_2": "STE. 200",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524380",
            "telephone_number": "702-990-2290",
            "fax_number": "702-990-2297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROVETTI",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2015-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NV",
            "license": "834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002018103",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.