Individual provider Active NPI

Charles M Calvo II, MD

  • Retina Specialist (Ophthalmology) Physician
  • Las Vegas, NV
National Provider Identifier
1194087940
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
18303 Issued in NV
Practice address
653 N Town Center Dr Ste 518
Las Vegas, NV 89144-0519
Phone
(702) 369-0200
Fax
(702) 243-8383
NPI assigned
Jun 7, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 10256816-1205 UT
Ophthalmology Physician 207W00000X 18303 NV
Retina Specialist (Ophthalmology) Physician 207WX0107X 18303 NV Primary

Addresses

Primary practice location

653 N Town Center Dr Ste 518
Las Vegas, NV 89144-0519

Mailing address

50 S Stephanie St Ste 101
Henderson, NV 89012-5731
Phone (702) 202-4776

Other practice location 1

710 Coronado Center Dr Ste 201
Henderson, NV 89052-4291
Phone (702) 369-0200

Other practice location 2

3006 S Maryland Pkwy Ste 710
Las Vegas, NV 89109-2246
Phone (702) 369-0200

Other practice location 3

1301 Bertha Howe Ave Ste 11
Mesquite, NV 89027-7503
Phone (702) 369-0200

Other practice location 4

1791 E 280 N
St George, UT 84790-2400
Phone (702) 369-0200

Other practice location 5

6220 N Durango Dr
Las Vegas, NV 89149-3916
Phone (702) 369-0200

Other practice location 6

3650 S Pointe Cir Ste 210
Laughlin, NV 89029-0423
Phone (702) 369-0200

Other practice location 7

3640 S Nevada Highway 160 Ste 101
Pahrump, NV 89048-5381
Phone (702) 369-0200

Other identifiers 1

IdentifierTypeStateIssuer
1194087940MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170628003233 UT Practitioner - Ophthalmology 0840421962 Reassigns benefits to 2 organizations
I20191113001863 NV Practitioner - Ophthalmology 0840421962 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Nevada School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meadows Healthcare LLCGroup PAC ID 9638468739, 19 clinicians

Practice addresses (Care Compare)

1820 E Desert Inn Rd
Las Vegas, NV 89169-3241
Phone (702) 358-0472

Hospital & facility affiliations

  • Sunrise Hospital and Medical Center Hospital, Las Vegas, NV, CCN 290003
  • Summerlin Hospital Medical Center Hospital, Las Vegas, NV, CCN 290041

Merit-based Incentive Payment System (MIPS)

Final score
87.43 of 100Reported as group
Quality
92.12
Improvement activities
40
Cost
68.61

Merit-based Incentive Payment System (MIPS)

Final score
88.04 of 100Reported as group
Quality
86.9
Improvement activities
40
Cost
77.59

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Utah Pediatric Services Current Accepting new patients
University of Utah Adult Services CurrentSince Jul 1, 2017 Accepting new patients
University of Utah Adult Services Current Accepting new patients
Meadows Healthcare LLC Retina Specialist CurrentSince Jan 1, 2024 Accepting new patients
University of Utah Pediatric Services CurrentSince Jul 1, 2017 Accepting new patients
University of Utah Pediatric Services CurrentSince Jul 1, 2017 Accepting new patients
University of Utah Adult Services CurrentSince Jul 1, 2017 Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Dignity Health Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients
Spring Valley Medical Center Past Accepting new patients
Desert Springs Hospital Past Accepting new patients
Summerlin Hospital Medical Center L L C Past Accepting new patients
Henderson Hospital Past Accepting new patients
Curry PLLC PastSince Apr 1, 2020 Accepting new patients

Locations

2749 Sunridge Heights Pkwy
Henderson, NV 89052
Phone (702) 568-0686

1820 E Desert Inn Rd
Las Vegas, NV 89169
Phone (702) 732-2398

7190 Smoke Ranch Rd
Ste 110
Las Vegas, NV 89128
Phone (702) 472-9902

8535 Edna Ave
Las Vegas, NV 89117

5556 S Fort Apache Rd
Las Vegas, NV 89148

5295 S Durango Dr
Ste 102
Las Vegas, NV 89113

7106 Smoke Ranch Rd
Ste 120
Las Vegas, NV 89128
Phone (702) 565-4917

6850 N Durango Dr
Ste 214
Las Vegas, NV 89149
Phone (702) 362-7246

5115 Camino Al Norte
North Las Vegas, NV 89031

2120 E Calvada Blvd
Pahrump, NV 89048
Phone (775) 727-8300

65 S Mario Capecchi Dr
Salt Lake City, UT 84132
Phone (801) 581-2352

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

100 N Mario Capecchi Dr
Slc, UT 84113
Phone (801) 587-7109

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1566/brand/2/csg/41/fhir/r4

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 3

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": "1339027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1194087940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 S STEPHANIE ST STE 101",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890125731",
            "telephone_number": "702-202-4776",
            "fax_number": "702-202-6110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 N TOWN CENTER DR STE 518",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891440519",
            "telephone_number": "702-369-0200",
            "fax_number": "702-243-8383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "710 Coronado Center Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890524291",
            "country_code": "US",
            "telephone_number": "702-369-0200",
            "fax_number": "702-243-8383",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3006 S Maryland Pkwy Ste 710",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891092246",
            "country_code": "US",
            "telephone_number": "702-369-0200",
            "fax_number": "702-243-8383",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 Bertha Howe Ave Ste 11",
            "address_purpose": "LOCATION",
            "city": "Mesquite",
            "state": "NV",
            "postal_code": "890277503",
            "country_code": "US",
            "telephone_number": "702-369-0200",
            "fax_number": "702-243-8383",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1791 E 280 N",
            "address_purpose": "LOCATION",
            "city": "St George",
            "state": "UT",
            "postal_code": "847902400",
            "country_code": "US",
            "telephone_number": "702-369-0200",
            "fax_number": "702-243-8383",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6220 N Durango Dr",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891493916",
            "country_code": "US",
            "telephone_number": "702-369-0200",
            "fax_number": "702-243-8383",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3650 S Pointe Cir Ste 210",
            "address_purpose": "LOCATION",
            "city": "Laughlin",
            "state": "NV",
            "postal_code": "890290423",
            "country_code": "US",
            "telephone_number": "702-369-0200",
            "fax_number": "702-243-8383",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3640 S Nevada Highway 160 Ste 101",
            "address_purpose": "LOCATION",
            "city": "Pahrump",
            "state": "NV",
            "postal_code": "890485381",
            "country_code": "US",
            "telephone_number": "702-369-0200",
            "fax_number": "702-243-8383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALVO",
        "first_name": "CHARLES",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-07",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "UT",
            "license": "10256816-1205",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NV",
            "license": "18303",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NV",
            "license": "18303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194087940",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.