Individual provider Active NPI

Brandon Repko, M.D.

  • Vascular & Interventional Radiology Physician
  • Las Vegas, NV
National Provider Identifier
1164649448
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
26591 Issued in NV
Practice address
1800 W Charleston Blvd
Las Vegas, NV 89102-2386
Phone
(702) 383-2000
NPI assigned
Apr 19, 2007
Last updated
May 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X MD435993 PA
Vascular & Interventional Radiology Physician 2085R0204X 26591 NV Primary
Diagnostic Radiology Physician 2085R0202X MT183631 PA
Vascular & Interventional Radiology Physician 2085R0204X 5181802 ID
Diagnostic Radiology Physician 2085R0202X 26591 NV

Addresses

Primary practice location

1800 W Charleston Blvd
Las Vegas, NV 89102-2386

Mailing address

1800 W Charleston Blvd
Las Vegas, NV 89102-2329
Phone (702) 383-2000

Other practice location 1

1055 N Curtis Rd
Boise, ID 83706-1309
Phone (208) 367-4320

Other practice location 2

500 University Dr
H088
Hershey, PA 17033-2360
Phone (717) 531-1692

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, OH, NV, CO, ID5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20100728000082 PA Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 9234262239 Reassigns benefits to 7 organizations
I20240312002557 OH Practitioner - Interventional Radiology 9234262239 Reassigns benefits to 1 organization
I20241111003610 NV Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 9234262239 Reassigns benefits to 1 organization
I20250429001703 CO Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 9234262239 Reassigns benefits to 1 organization
I20260604002294 ID Practitioner - Interventional Radiology 9234262239 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Radiology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Butler Imaging and Interventional Associates LLCGroup PAC ID 8426115478, 43 clinicians
Las Vegas Urology LLPGroup PAC ID 5294713335, 51 clinicians

Practice addresses (Care Compare)

1 Hospital Way
Butler, PA 16001-4670
Phone (724) 284-4000

1000 Bower Hill Rd
Pittsburgh, PA 15243-1873
Phone (412) 942-2582

1644 Medical Ctr PT
Suite 100
Colorado Springs, CO 80907-5765
Phone (719) 634-1994

7150 W Sunset Rd
Suite 106
Las Vegas, NV 89113-1982
Phone (702) 761-4108

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26591NVMDDiagnostic Radiology Physician
MT183631PAMDDiagnostic Radiology Physician
5181802IDMDVascular & Interventional Radiology Physician
MD435993PAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Medical Associates, PC CurrentSince Jun 1, 2021 Accepting new patients
Excela Health Physician Practices, Inc Current Accepting new patients
Premier Medical Associates PC Diagnostic Radiology CurrentSince Jun 1, 2021 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Aug 1, 2023 Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Aug 1, 2023 Accepting new patients
St Clair Professional Services Inc CurrentSince Mar 1, 2026 Accepting new patients
Las Vegas Urology LLP CurrentSince May 1, 2025 Accepting new patients
St Clair Professional Services Inc CurrentSince Mar 1, 2026 Accepting new patients
Butler Imaging and Interventional Associates LLC Diagnostic Radiology CurrentSince Jul 12, 2010 Accepting new patients
Colorado Springs Urological Associates LLC CurrentSince May 15, 2025 Accepting new patients
Colorado Springs Urological Associates LLC CurrentSince May 15, 2025 Accepting new patients
University of Pittsburgh Physicians Diagnostic Radiology CurrentSince Mar 1, 2021 Accepting new patients
Geisinger Clinic Diagnostic Radiology CurrentSince Dec 14, 2020 Accepting new patients
University of Cincinnati Physicians Company, LLC CurrentSince Mar 31, 2024 Accepting new patients
Advanced Surgical Center LLC CurrentSince May 1, 2025 Accepting new patients
Geisinger Clinic Diagnostic Radiology CurrentSince Dec 14, 2020 Accepting new patients
Quantum Imaging & Therapeutic Associates Inc Diagnostic Radiology CurrentSince Aug 1, 2020 Accepting new patients
Geisinger Clinic Current Accepting new patients
North Care ASC, LLC Past Accepting new patients

Locations

6071 E Woodmen Rd
Ste 352
Colorado Springs, CO 80923
Phone (719) 531-7007

6071 E Woodmen Rd
Ste 300
Colorado Springs, CO 80923
Phone (719) 531-7007

1644 Medical Center Pt
Ste 200
Colorado Springs, CO 80907
Phone (719) 634-1994

1644 Medical Center Pt
Ste 100
Colorado Springs, CO 80907
Phone (719) 247-5500

7150 W Sunset Rd
Ste 100
Las Vegas, NV 89113
Phone (702) 341-9000

7501 Trinity Peak Ave
Ste 150
Las Vegas, NV 89128

7501 Trinity Peak Ave
Ste 105
Las Vegas, NV 89128

7150 W Sunset Rd
Ste 106
Las Vegas, NV 89113
Phone (702) 761-4108

9360 River Rd
Marcy, NY 13403

3188 Bellevue Ave
Cincinnati, OH 45219
Phone (513) 558-5281

2123 Auburn Ave
#A28
Cincinnati, OH 45219
Phone (513) 585-0523

3200 Burnet Ave
#2
Cincinnati, OH 45229
Phone (513) 585-5505

7700 University Dr
West Chester, OH 45069
Phone (513) 298-3000

1 Hospital Way
Butler, PA 16001
Phone (412) 492-0800

503 N 21st St
Camp Hill, PA 17011
Phone (717) 763-2100

100 N Academy Ave
Danville, PA 17822

51 Business Campus Way
Ste 100
Duncannon, PA 17020
Phone (717) 834-3280

532 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 832-4000

500 University Dr
#H88
Hershey, PA 17033
Phone (717) 531-1692

1 Mellon Way
Latrobe, PA 15650
Phone (724) 537-1207

3824 Northern Pike
Ste 300
Monroeville, PA 15146
Phone (412) 856-5335

3824 Northern Pike
Ste 150
Monroeville, PA 15146
Phone (412) 373-6342

1000 Bower Hill Rd
Pittsburgh, PA 15243
Phone (412) 344-6600

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.645
  • Direct secure messaging: brandonrepko@lvu.medalliesdirect.net

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1164649448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022329",
            "telephone_number": "702-383-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022386",
            "telephone_number": "702-383-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1055 N Curtis Rd",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837061309",
            "country_code": "US",
            "telephone_number": "208-367-4320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 University Dr",
            "address_2": "H088",
            "address_purpose": "LOCATION",
            "city": "Hershey",
            "state": "PA",
            "postal_code": "170332360",
            "country_code": "US",
            "telephone_number": "717-531-1692",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REPKO",
        "first_name": "BRANDON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "PA",
            "license": "MD435993",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NV",
            "license": "26591",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MT183631",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "ID",
            "license": "5181802",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NV",
            "license": "26591",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.