Individual provider Active NPI

Kevin Tinio

  • Certified Registered Nurse Anesthetist
  • Las Vegas, NV
National Provider Identifier
1124614292
Registry record updated Feb 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
TEMP838101 Issued in NV
Practice address
9127 W Russell Rd Ste 110
Las Vegas, NV 89148-1253
Phone
(702) 878-0070
Fax
(702) 209-2064
NPI assigned
Dec 14, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Certified Registered Nurse Anesthetist 367500000X TEMP838101 NV Primary

Addresses

Primary practice location

9127 W Russell Rd Ste 110
Las Vegas, NV 89148-1253

Mailing address

PO Box 840857
Dallas, TX 75284-0857
Phone (702) 878-0070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, WA, HI3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20210225001983 NV Practitioner - Certified Registered Nurse Anesthetist (Crna) 2365857356 Reassigns benefits to 3 organizations
I20240315000909 WA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2365857356 Reassigns benefits to 1 organization
I20240606003276 HI Practitioner - Certified Registered Nurse Anesthetist (Crna) 2365857356 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pec Anesthesia LLCGroup PAC ID 3870748023, 19 clinicians
PRN Anesthesia L L CGroup PAC ID 2769882117, 2 clinicians

Practice addresses (Care Compare)

1029 Makolu St
Suite H
Pearl City, HI 96782-2890
Phone (808) 456-6420

590 Farrington Hwy
Unit 526a
Kapolei, HI 96707-2034
Phone (808) 744-0517

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
TEMP838101NVMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Oregon Anesthesiology Group PC CurrentSince Jan 16, 2024 Accepting new patients
Pec Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince May 8, 2024 Accepting new patients
Arizona Anesthesia Consultants, Inc. Nurse Anesthetist, Certified Registered CurrentSince Dec 16, 2020 Accepting new patients
Kat Anesthesia PLLC Nurse Anesthetist, Certified Registered Current Accepting new patients
Red Rock Anesthesia Consultants LLC CurrentSince Dec 1, 2025 Accepting new patients
PRN Anesthesia L L C Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2026 Accepting new patients
Amin, Dunckelmeyer and Luu PLLC CurrentSince Dec 1, 2025 Accepting new patients
Fielden Hanson Isaacs Miyada Robison Yeh LTD Nurse Anesthetist, Certified Registered CurrentSince Feb 19, 2021 Accepting new patients

Locations

2226 Liliha St
Ste 307
Honolulu, HI 96817
Phone (808) 531-5823

590 Farrington Hwy
Unit 526A
Kapolei, HI 96707
Phone (808) 425-2376

1029 Makolu St
Ste H
Pearl City, HI 96782
Phone (808) 456-6420

3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000

5400 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 252-7342

9127 W Russell Rd
Ste 110
Las Vegas, NV 89148
Phone (702) 209-2042

707 SW Washington St
Ste 700
Portland, OR 97205

2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1607904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613692800000",
    "number": "1124614292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840857",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840857",
            "telephone_number": "702-878-0070",
            "fax_number": "702-209-2064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9127 W RUSSELL RD STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891481253",
            "telephone_number": "702-878-0070",
            "fax_number": "702-209-2064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINIO",
        "first_name": "KEVIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-14",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NV",
            "license": "TEMP838101",
            "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 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.