NPIMap

Individual provider Active NPI

Adrian Adrian, MD

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1174577662
Registry record updated Oct 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11437 Issued in NV
Practice address
5940 S Rainbow Blvd
Las Vegas, NV 89118-2540
Phone
(702) 335-1880
NPI assigned
May 20, 2006
Last updated
Oct 5, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 11437 NV Primary

Addresses

Primary practice location

5940 S Rainbow Blvd
Las Vegas, NV 89118-2540

Mailing address

5940 S Rainbow Blvd
Las Vegas, NV 89118-2540
Phone (702) 335-1880

Other identifiers 1

IdentifierTypeStateIssuer
100507893MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051219000069 NV Practitioner - Family PracticePractitioner - Psychiatry 8628099660 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nevada Integrated HealthcareGroup PAC ID 1153736822, 3 clinicians

Practice addresses (Care Compare)

10155 W Twain Ave
Suite 110
Las Vegas, NV 89147-6723
Phone (702) 848-5644

5940 S Rainbow Blvd
Las Vegas, NV 89118-2506
Phone (702) 921-6829

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nevada Integrated Healthcare CurrentSince May 21, 2021 Accepting new patients
State of Nevada Current Accepting new patients
El Jen SNF Operations LLC Past Accepting new patients
Tri City Medical Hospitalists LLC Past Accepting new patients
Thi of Nevada II at Desert Lane, LLC Past Accepting new patients
Healthcare Partners Medical Group (Coats), LTD. Past Accepting new patients
Spring Valley Health Care, LLC Past Accepting new patients
Tri City Medical Internists LLC Past Accepting new patients
Vuthoori & Patel LLC Family Medicine Past Accepting new patients

Locations

4150 Technology Way
Ste 100
Carson City, NV 89706

170 S Green Valley Pkwy
Ste 300
Henderson, NV 89012
Phone (702) 791-1294

10155 W Twain Ave
Ste 110
Las Vegas, NV 89147
Phone (702) 243-2689

1614 E Lake Mead Blvd
North Las Vegas, NV 89030

Organizations & group practices 10

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.

Hospital & facility affiliations 4

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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191542400000",
    "number": "1174577662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5940 S RAINBOW BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891182540",
            "telephone_number": "702-335-1880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5940 S RAINBOW BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891182540",
            "telephone_number": "702-335-1880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADRIAN",
        "first_name": "ADRIAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2007-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "11437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100507893",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.