NPIMap

Individual provider Active NPI

Lawrence M Allen, MD

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1174596142
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
5650 Issued in NV
Practice address
5915 S Rainbow Blvd Ste 105
Las Vegas, NV 89118-2558
Phone
(702) 366-0640
Fax
(702) 366-9075
NPI assigned
Feb 9, 2006
Last updated
Jun 2, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5650 NV Primary

Addresses

Primary practice location

5915 S Rainbow Blvd Ste 105
Las Vegas, NV 89118-2558

Mailing address

5915 S Rainbow Blvd Ste 105
Las Vegas, NV 89118-2558
Phone (702) 366-0640

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
I20040507000953 NV Practitioner - Internal Medicine 9436148202 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Nevada School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diagnostic Center of Medicine Allen LLPGroup PAC ID 7517956485, 2 clinicians

Practice addresses (Care Compare)

5915 S Rainbow Blvd
Suite 105
Las Vegas, NV 89118-2558
Phone (702) 545-6111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5650NVMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Diagnostic Center of Medicine (Allen) LLP Internal Medicine CurrentSince Jul 1, 2004 Accepting new patients
Desert Springs Hospital Past Accepting new patients
Spring Valley Medical Center Past Accepting new patients
Dignity Health Past Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Summerlin Hospital Medical Center L L C Past Accepting new patients

Locations

3012 S Durango Dr
#1
Las Vegas, NV 89117
Phone (702) 366-0640

3012 S Durango Dr
Ste 1
Las Vegas, NV 89117
Phone (702) 366-0640

3012 S Durango Dr
Ste 2
Las Vegas, NV 89117
Phone (702) 483-2407

5915 S Rainbow Blvd
Ste 105
Las Vegas, NV 89118
Phone (702) 366-0640

Interoperability endpoints

  • Direct secure messaging: lawrence.allen@dcoml.eclinicaldirectplus.com

Organizations & group practices 11

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 2

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": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1174596142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5915 S RAINBOW BLVD STE 105",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891182558",
            "telephone_number": "702-366-0640",
            "fax_number": "702-366-9075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5915 S RAINBOW BLVD STE 105",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891182558",
            "telephone_number": "702-366-0640",
            "fax_number": "702-366-9075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "LAWRENCE",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "5650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.