Active NPI
Gerica Alvarado, MD
- Family Medicine Physician
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 21901
- Practice address
- 4750 W Oakey Blvd
Las Vegas, NV 89102-1535 - Phone
- (702) 877-5199
- NPI assigned
- Jun 27, 2017
- Last updated
- Feb 24, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 11676932-1205 | UT | |
| Internal Medicine Physician | 207R00000X | LP04118 | RI | |
| Family Medicine Physician | 207Q00000X | 21901 | NV | Primary |
Addresses
Primary practice location
4750 W Oakey Blvd
Las Vegas, NV 89102-1535
Mailing address
PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 877-5199
Other practice location 1
1365 South 1000 North
Salt Lake City, UT 84116-1654
Phone (801) 328-5750
Other practice location 2
111 Brewster St
FCC a
Pawtucket, RI 02864
Phone (401) 729-2304
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4750 W Oakey Blvd
Las Vegas, NV 89102-1535
Phone (702) 579-3253
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP04118 | RI | MD | Internal Medicine Physician |
| 11676932-1205 | UT | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Medical Group Rhodes P C | Current | Accepting new patients | |
| Optum Medical Group II Rhodes P C | Internal Medicine | Current | Accepting new patients |
| Desert Springs Hospital | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| Centennial Hills Hospital Medical Center | Past | Accepting new patients | |
| Sunrise Mountainview Hospital, Inc. | Past | Accepting new patients |
Locations
420 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 339-5710
4750 W Oakey Blvd
Las Vegas, NV 89102
Phone (702) 724-8877
4750 W Oakey Blvd
Ste 4A
Las Vegas, NV 89102
Interoperability endpoints
- galvarado119276@westdirect.optum.com
Organizations & group practices 6
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.
-
dba Southwest Medical
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1790329407
-
dba Optumcare Anesthesia
- Anesthesiology Physician
- Las Vegas, NV
- NPI 1770556037
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1487771812
-
dba Desert Springs Hospital Medical Center
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1154317964
-
dba St. Rose Dominican Hospital, Rose de Lima Campus
- General Acute Care Hospital
- Henderson, NV
- NPI 1447393152
-
dba Mountainview Hospital
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1831143817
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645660800000",
"number": "1124549464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 35380",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891335380",
"telephone_number": "702-877-5199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4750 W OAKEY BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891021535",
"telephone_number": "702-877-5199"
}
],
"practiceLocations": [
{
"address_1": "1365 South 1000 North",
"address_purpose": "LOCATION",
"city": "Salt Lake City",
"state": "UT",
"postal_code": "841161654",
"country_code": "US",
"telephone_number": "801-328-5750",
"fax_number": "877-497-4661",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "111 Brewster St",
"address_2": "FCC A",
"address_purpose": "LOCATION",
"city": "Pawtucket",
"state": "RI",
"postal_code": "02864",
"country_code": "US",
"telephone_number": "401-729-2304",
"fax_number": "401-729-2541",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALVARADO",
"first_name": "GERICA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-27",
"last_updated": "2022-02-24",
"certification_date": "2022-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "UT",
"license": "11676932-1205",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "RI",
"license": "LP04118",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NV",
"license": "21901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Feb 24, 2022; 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.