Individual provider Active NPI

Nancy Te Lao, MD

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1174596431
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
8774 Issued in NV
Practice address
4517 Blue Diamond Rd
Las Vegas, NV 89139-7620
Phone
(725) 258-2982
Fax
(877) 709-4341
NPI assigned
Feb 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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 8774 NV Primary

Addresses

Primary practice location

4517 Blue Diamond Rd
Las Vegas, NV 89139-7620

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Phone (725) 258-2982

Other practice location 1

595 W Lake Mead Pkwy
Henderson, NV 89015-7015
Phone (702) 565-1007

Other identifiers 4

IdentifierTypeStateIssuer
1174596431MedicaidNV
8774OtherNVSTATE LICENSE
100506806MedicaidNV
100506805MedicaidNV

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nancy.lao.1@29601.direct.athenahealth.com

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
I20050921001080 NV Practitioner - Family Practice 2062446719 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

4001 S Decatur Blvd
Suite 25
Las Vegas, NV 89103-5857
Phone (725) 224-6967

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care (NV) PC Family Medicine CurrentSince Sep 11, 2023 Accepting new patients
Intermountain Medical Holdings Nevada Inc CurrentSince Jan 1, 2022 Accepting new patients
Healthcare Partners Medical Group Coats LTD Family Medicine Current Accepting new patients
Intermountain Medical Holdings Nevada Inc Family Medicine CurrentSince Jan 1, 2022 Accepting new patients
Centerwell Senior Primary Care (NV) PC Family Medicine CurrentSince Sep 11, 2023 Accepting new patients
Centerwell Senior Primary Care (NV) PC Family Medicine Past Accepting new patients
Centerwell Senior Primary Care NV P C Family Medicine Past Accepting new patients

Locations

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

4700 Millenia Blvd
Ste 650
Orlando, FL 32839
Phone (407) 533-6837

595 W Lake Mead Pkwy
Henderson, NV 89015
Phone (702) 566-5500

1766 E Charleston Blvd
Las Vegas, NV 89104
Phone (702) 843-2440

6355 S Buffalo Dr
Fl 3
Las Vegas, NV 89113
Phone (702) 479-4881

4001 S Decatur Blvd
Ste 25
Las Vegas, NV 89103
Phone (725) 224-6967

4880 Wynn Rd
Las Vegas, NV 89103
Phone (702) 382-4554

3129 N Rainbow Blvd
Las Vegas, NV 89108
Phone (725) 220-8457

4517 Blue Diamond Rd
Las Vegas, NV 89139
Phone (725) 258-2982

1397 S Loop Rd
Pahrump, NV 89048
Phone (775) 727-5500

Interoperability endpoints

  • Direct secure messaging: nancy.lao@centerwell.eclinicaldirectplus.com
  • Direct secure messaging: nancylao@hcpnv.allscriptsdirect.net
  • Direct secure messaging: nancy.lao.1@29601.direct.athenahealth.com

Organizations & group practices 8

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": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1174596431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168",
            "telephone_number": "725-258-2982",
            "fax_number": "877-709-4341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4517 BLUE DIAMOND RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891397620",
            "telephone_number": "725-258-2982",
            "fax_number": "877-709-4341"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "595 W Lake Mead Pkwy",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890157015",
            "country_code": "US",
            "telephone_number": "702-565-1007",
            "fax_number": "702-565-0836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAO",
        "first_name": "NANCY",
        "middle_name": "TE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-08",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "8774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174596431",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "8774",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100506806",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100506805",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nancy.lao.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "4517 Blue Diamond Rd",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891397620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.