NPIMap

Organization Active NPI

Steven V Kozmary MD LLC

  • Multi-Specialty Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1063579803
Registry record updated May 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
STEVEN V KOZMARY MD LLC
Practice address
2851 El Camino Ave
Ste 101
Las Vegas, NV 89102
Phone
(702) 380-3210
Fax
(702) 380-3212
NPI assigned
Jan 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2018

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

Authorized official

Name
Steven V Kozmary, MDNPI 1659337459
Title
Medical Director
Phone
(702) 380-3210

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary
Pain Clinic/Center 261QP3300X

Addresses

Primary practice location

2851 El Camino Ave
Ste 101
Las Vegas, NV 89102

Mailing address

2851 El Camino Ave Ste 101
Las Vegas, NV 89102-4266
Phone (702) 380-3210

Other identifiers 1

IdentifierTypeStateIssuer
002002438MedicaidNV

Other names 1

  • Kozmary Center for Pain Management Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, AZ3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20080923000499 NV Part B Supplier - Clinic/Group Practice 5294802831 Receives reassigned benefits from 4 practitioners
Practice locations: Las Vegas, NV
O20130220000163 NV DME Supplier - Physician - General PracticeDME Supplier - Multi-Specialty - Physician 5294802831 Practice locations: Las Vegas, NV
O20221027001544 AZ Part B Supplier - Clinic/Group Practice 5294802831 Receives reassigned benefits from 5 practitioners
Practice locations: Bullhead City, AZ

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

2851 El Camino Ave
Las Vegas, NV 89102
Phone (702) 380-3210

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526601600000",
    "number": "1063579803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2851 EL CAMINO AVE STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891024266",
            "telephone_number": "702-380-3210",
            "fax_number": "702-380-3212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2851 EL CAMINO AVE",
            "address_2": "STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89102",
            "telephone_number": "702-380-3210",
            "fax_number": "702-380-3212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN V KOZMARY MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2018-05-18",
        "status": "A",
        "authorized_official_last_name": "KOZMARY",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "702-380-3210",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002002438",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kozmary Center for Pain Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.