Active NPI
Oleh Pankewycz, MD
- Nephrology Physician
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- MD061181L
- Practice address
- 901 Rancho LN.
Ste 250
Las Vegas, NV 89106 - Phone
- (702) 383-2224
- Fax
- (702) 383-3035
- NPI assigned
- Mar 3, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 221448 | NY | |
| Nephrology Physician | 207RN0300X | 21454 | NV | |
| Nephrology Physician | 207RN0300X | MD061181L | PA | Primary |
Addresses
Primary practice location
901 Rancho LN.
Ste 250
Las Vegas, NV 89106
Mailing address
901 Rancho LN.
Ste 250
Las Vegas, NV 89106
Phone (702) 383-2224
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02192309 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Columbia University College of Physicians and Surgeons, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
901 Rancho LN
Suite 250
Las Vegas, NV 89106-3835
Phone (702) 383-2224
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Department of Medicine Medical Service Group | Current | Accepting new patients | |
| Department of Medicine Medical Serv GRP at Suny HLTH Sci Ctr Syr in | Nephrology | Current | Accepting new patients |
| University Medical Center of Southern Nevada | Current | Accepting new patients | |
| University Medical Center of Southern Nevada | Current | Accepting new patients |
Locations
1800 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 207-8253
901 Rancho Ln
Ste 250
Las Vegas, NV 89106
Phone (702) 383-2224
750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1548393127
-
- Internal Medicine Physician
- Syracuse, NY
- NPI 1063468239
Nephrology
-
- Urgent Care Clinic/Center
- Las Vegas, NV
- NPI 1710549829
-
- Hematology & Oncology Physician
- Homer, NY
- NPI 1205104262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638835200000",
"number": "1194792531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 RANCHO LN.",
"address_2": "STE 250",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89106",
"telephone_number": "702-383-2224",
"fax_number": "702-383-3035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 RANCHO LN.",
"address_2": "STE 250",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89106",
"telephone_number": "702-383-2224",
"fax_number": "702-383-3035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANKEWYCZ",
"first_name": "OLEH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-03",
"last_updated": "2021-12-07",
"certification_date": "2021-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NY",
"license": "221448",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NV",
"license": "21454",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "PA",
"license": "MD061181L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02192309",
"state": "NY"
}
],
"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 Dec 7, 2021; 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.