Individual provider Active NPI

Laura Santos Pavia, MD

  • Anesthesiology Physician
  • Henderson, NV
National Provider Identifier
1134314438
Registry record updated Jan 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
18441 Issued in NV
Practice address
10120 S Eastern Ave #130
Henderson, NV 89052
Phone
(702) 487-6880
Fax
(702) 473-5455
NPI assigned
Sep 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 247464 MA
Anesthesiology Physician 207L00000X 18441 NV Primary
Anesthesiology Physician 207L00000X 26625R PR

Addresses

Primary practice location

10120 S Eastern Ave #130
Henderson, NV 89052

Mailing address

10120 S Eastern Ave #130
Henderson, NV 89052
Phone (702) 487-6880

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190207001632 NV Practitioner - Anesthesiology 4880863653 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Puerto Rico School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nevada Anesthesiology Partners LLPGroup PAC ID 0244338531, 6 clinicians
Mark Bell MD PCGroup PAC ID 9436633864, 26 clinicians

Practice addresses (Care Compare)

100 N Green Valley Pkwy
Suite 125
Henderson, NV 89074-6392
Phone (702) 616-4954

1050 W Galleria Dr
Henderson, NV 89011-4800
Phone (702) 963-7000

657 N Town Ctr Dr
Las Vegas, NV 89144-6367
Phone (702) 233-7000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
247464MAMDAnesthesiology Physician
26625RPRMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Anesthesiology Consultants-Beckett-PLLC Anesthesiology CurrentSince Dec 11, 2018 Accepting new patients
Nevada Anesthesiology Partners, LLP Anesthesiology CurrentSince Oct 15, 2019 Accepting new patients
Khamamkar Anesthesiology Consultants LTD Anesthesiology PastSince Aug 18, 2024 Accepting new patients
Anesthesiology Consulting Group, Inc Anesthesiology Past Accepting new patients

Locations

10120 S Eastern Ave
Ste 130
Henderson, NV 89052
Phone (702) 487-6880

10120 S Eastern Ave
Ste 230
Henderson, NV 89052
Phone (702) 487-6880

100 N Green Valley Pkwy
Ste 125
Henderson, NV 89074
Phone (702) 294-1230

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

1800 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 207-8253

1930 Village Center Cir
Ste 3999
Las Vegas, NV 89134
Phone (702) 438-3400

7250 Cathedral Rock Dr
Las Vegas, NV 89128
Phone (702) 304-3985

2565 E Flamingo Rd
Las Vegas, NV 89121
Phone (702) 697-7900

Organizations & group practices 5

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": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547769600000",
    "number": "1134314438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10120 S EASTERN AVE #130",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "89052",
            "telephone_number": "702-487-6880",
            "fax_number": "702-473-5455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10120 S EASTERN AVE #130",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "89052",
            "telephone_number": "702-487-6880",
            "fax_number": "702-473-5455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS PAVIA",
        "first_name": "LAURA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-10",
        "last_updated": "2019-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MA",
            "license": "247464",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NV",
            "license": "18441",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PR",
            "license": "26625R",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.