Gerica Alvarado, MD
Individual provider Active NPI Family Medicine Physician · Las Vegas, NV
NPI 1124549464 · NPPES record last updated Feb 24, 2022
Key facts
- NPI
- 1124549464
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 21901 (NV)
- Practice address
- 4750 W Oakey Blvd
Las Vegas, NV 89102-1535 - Phone
- (702) 877-5199
- NPI assigned
- Jun 27, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Optum Medical Group II Rhodes P C
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 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220207002133 | NV | Practitioner - Family Practice | 0749602696 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- 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 II Rhodes P C | Internal Medicine | Current |
Accepting new patients |
| Optum Medical Group Rhodes P C | Current |
Accepting new patients | |
| Desert Springs Hospital | Past | Accepting new patients | |
| Sunrise Mountainview Hospital, Inc. | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| Centennial Hills Hospital Medical Center | Past | Accepting new patients |
Locations
4750 W Oakey Blvd
Ste 4A
Las Vegas, NV 89102
420 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 339-5710
4750 W Oakey Blvd
Las Vegas, NV 89102
Phone (702) 724-8877
Interoperability endpoints
- galvarado119276@westdirect.optum.com
Specialties & licenses
| 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 | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11676932-1205 | Other | UT | STATE OF UTAH MEDICAL LICENSE |
| LP04118 | Other | RI | RHODE ISLAND MEDICAL LICENSE |
Other providers in Las Vegas, NV
- Chary Alvarado
- Christian Alvarado
- Crystal Yvonne Alvarado
- David Earl Alvarado
- Elizabeth Alvarado
- Guadalupe Alvarado
- Irma Alvarado
- Jacqueline Alvarado
- Julie Alvarado
- Karla Veronica Alvarado
All providers in Las Vegas, NV · Family Medicine Physician in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.