Active NPI
Nicholas Anthony Benites, PA-C
- Physician Assistant
- Las Vegas, NV
National Provider Identifier
1174882807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA1352
- Practice address
- 3975 S Durango Dr Ste 107
Las Vegas, NV 89147-4156 - Phone
- (702) 628-5333
- Fax
- (702) 487-3599
- NPI assigned
- May 15, 2012
- Last updated
- Oct 14, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA1352 | NV | Primary |
Addresses
Primary practice location
3975 S Durango Dr Ste 107
Las Vegas, NV 89147-4156
Mailing address
9750 W Skye Canyon Park Dr
Ste 160 Box 103
Las Vegas, NV 89166-6627
Phone (702) 232-2326
Other practice location 1
3758 Las Vegas Blvd S
Las Vegas, NV 89109-4132
Phone (702) 262-9028
Other practice location 2
340 Falcon Ridge Pkwy Ste 400-404
Mesquite, NV 89027-8850
Phone (702) 346-5510
Other practice location 3
1420 E Calvada Blvd Ste 100
Pahrump, NV 89048-3975
Phone (775) 727-0900
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Nebraska College of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1420 E Calvada Blvd
Suite 100
Pahrump, NV 89048-3975
Phone (775) 727-0900
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.65 of 100
- Promoting interoperability
- 89
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Andrew Hall MD PLLC | Current | Accepting new patients | |
| J H Daulat DO PC | Current | Accepting new patients | |
| J H Daulat DO PC | Past | Accepting new patients | |
| Jaldeep H Daulat DO Professional Corporation | Past | Accepting new patients |
Locations
3975 S Durango Dr
Ste 107
Las Vegas, NV 89147
Phone (702) 628-5333
9750 W Skye Canyon Park Dr
Ste 160
Las Vegas, NV 89166
1420 E Calvada Blvd
Ste 100
Pahrump, NV 89048
Phone (775) 727-0900
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Relevium Pain Specialists
- Interventional Pain Medicine Physician
- Las Vegas, NV
- NPI 1588121941
-
dba Mojave Skin & Cancer Clinic
- Dermatology Physician
- Laughlin, NV
- NPI 1366544124
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728864000000",
"number": "1174882807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9750 W SKYE CANYON PARK DR",
"address_2": "STE 160 BOX 103",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891666627",
"telephone_number": "702-232-2326",
"fax_number": "702-974-0440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3975 S DURANGO DR STE 107",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891474156",
"telephone_number": "702-628-5333",
"fax_number": "702-487-3599"
}
],
"practiceLocations": [
{
"address_1": "3758 Las Vegas Blvd S",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891094132",
"country_code": "US",
"telephone_number": "702-262-9028",
"fax_number": "702-736-3921",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "340 Falcon Ridge Pkwy Ste 400-404",
"address_purpose": "LOCATION",
"city": "Mesquite",
"state": "NV",
"postal_code": "890278850",
"country_code": "US",
"telephone_number": "702-346-5510",
"fax_number": "702-346-2557",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1420 E Calvada Blvd Ste 100",
"address_purpose": "LOCATION",
"city": "Pahrump",
"state": "NV",
"postal_code": "890483975",
"country_code": "US",
"telephone_number": "775-727-0900",
"fax_number": "702-727-0902",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BENITES",
"first_name": "NICHOLAS",
"middle_name": "ANTHONY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-05-15",
"last_updated": "2024-10-14",
"certification_date": "2024-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NV",
"license": "PA1352",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.