Individual provider Active NPI

David R Lanzkowsky

  • Pain Medicine (Anesthesiology) Physician
  • Las Vegas, NV
National Provider Identifier
1154427375
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
6468 Issued in NV
Practice address
4454 N Decatur Blvd
Las Vegas, NV 89130-5286
Phone
(702) 507-0996
Fax
(702) 507-0992
NPI assigned
Sep 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 6468 NV Primary

Addresses

Primary practice location

4454 N Decatur Blvd
Las Vegas, NV 89130-5286

Mailing address

4454 N Decatur Blvd
Las Vegas, NV 89130-5286
Phone (702) 507-0996

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
I20050929001249 NV Practitioner - Anesthesiology 2961437769 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.58 of 100Reported as group
Quality
100
Improvement activities
40
Cost
67.97

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
6468NVMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Centennial Medical Group LLP CurrentSince Mar 1, 2007 Accepting new patients
Centennial Medical Group LLP CurrentSince Jan 1, 2007 Accepting new patients
DL-JT Management Services, LLC PastSince Apr 15, 2003 Accepting new patients
East Russell Surgery Partners LLC PastSince Aug 14, 2024 Accepting new patients
Albuquerque Surgical Partners LLC PastSince Aug 15, 2024 Accepting new patients

Locations

4454 N Decatur Blvd
Las Vegas, NV 89130
Phone (702) 507-0996

Interoperability endpoints

  • Direct secure messaging: david.lanzkowsky@873.chartlogic.direct-ci.com
  • Direct secure messaging: centenennialmedicalgroup.david.lanzkowsky@114593.advancedmd-direct.com

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": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1154427375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4454 N DECATUR BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891305286",
            "telephone_number": "702-507-0996",
            "fax_number": "702-507-0992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4454 N DECATUR BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891305286",
            "telephone_number": "702-507-0996",
            "fax_number": "702-507-0992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANZKOWSKY",
        "first_name": "DAVID",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NV",
            "license": "6468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.