Alexander Imas, MD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

12082 Issued in NV

Practice address

1358 Paseo Verde Pkwy Ste 100
Henderson, NV 89012-5725

Phone

(702) 982-7100

Fax

(702) 982-7102

NPI assigned

Nov 30, 2005

Last updated

Oct 31, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

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

Specialty

Physical Medicine and Rehabilitation

Education

Wayne State University School of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Complete Pain Management and Rehabilitation LLCGroup PAC ID 0244390730, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

84.48 of 100Reported as group

Quality

44.7

Promoting interoperability

100

Improvement activities

40

Cost

73.96

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: aimas@221.securemail.prognocis.com

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.

• Complete Pain Management & Rehabilitation LLC

  dba Dynamic Pain Rehabilitation

  • Physical Medicine & Rehabilitation Physician
  • Henderson, NV
  • NPI 1376795823
  Medicare reassignment Care Compare group NPD Authorized official
• Eddiepmd Inc

  dba Advanced Spine & Pain Center

  • Physical Medicine & Rehabilitation Physician
  • Las Vegas, NV
  • NPI 1306934443
  NPD (past)

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1114901444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 531666",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890531666",
            "telephone_number": "702-982-7100",
            "fax_number": "702-982-7102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1358 PASEO VERDE PKWY STE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890125725",
            "telephone_number": "702-982-7100",
            "fax_number": "702-982-7102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMAS",
        "first_name": "ALEXANDER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NV",
            "license": "6727480001",
            "primary": false
        },
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "MI",
            "license": "AI070134",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NV",
            "license": "12082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1376795823",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Lemuel Ilustrisimo, DO
• Ily-Larc LLC (Renew Care Pharmacy)
• Im Psychology PLLC
• Image Smart, Inc.
• Carla Iman
• Hannah Imasa, PA-C
• Immersive Medical Holdings PLLC
• Jaimee Imperial, MD
• Ims Neurosurgical Specialists LLC
• Natasha Inacio

• Physical Medicine & Rehabilitation Physician in Henderson, NV
• Providers in Henderson, NV by specialty
• Physical Medicine & Rehabilitation Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.