Individual provider Active NPI

Elvira B. Acosta, M.D.

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1184669293
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
7576 Issued in NV
Practice address
12 Cross Ridge St Ste 160
Las Vegas, NV 89135-7842
Phone
(702) 233-2500
Fax
(702) 233-2525
NPI assigned
Jun 20, 2006
Last updated
Apr 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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 7576 NV Primary

Addresses

Primary practice location

12 Cross Ridge St Ste 160
Las Vegas, NV 89135-7842

Mailing address

12 Cross Ridge St
Las Vegas, NV 89135-7842
Phone (702) 339-8879

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
I20081118000017 NV Practitioner - Family Practice 0941360200 Practice locations: Las Vegas, NV

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Elvira B Acosta MD PC Family Medicine CurrentSince Sep 22, 2008 Accepting new patients

Locations

2001 S Rainbow Blvd
Ste 160
Las Vegas, NV 89146
Phone (702) 233-2500

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1184669293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 CROSS RIDGE ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891357842",
            "telephone_number": "702-339-8879",
            "fax_number": "702-360-0180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 CROSS RIDGE ST STE 160",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891357842",
            "telephone_number": "702-233-2500",
            "fax_number": "702-233-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACOSTA",
        "first_name": "ELVIRA",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-20",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "7576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.