Individual provider Active NPI

Maria C Adolfo, MD

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1255301347
Registry record updated Nov 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
8438 Issued in NV
Practice address
5785 S Fort Apache Rd
Ste. 100B
Las Vegas, NV 89148-5659
Phone
(702) 228-3111
Fax
(702) 228-0411
NPI assigned
Jan 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 8438 NV Primary

Addresses

Primary practice location

5785 S Fort Apache Rd
Ste. 100B
Las Vegas, NV 89148-5659

Mailing address

9811 W Charleston Blvd Ste 2-845
Las Vegas, NV 89117-7528
Phone (702) 228-3111

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
I20040901000911 NV Practitioner - Internal Medicine 2466427430 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6015 S Fort Apache Rd
Suite 190
Las Vegas, NV 89148-5548
Phone (702) 228-3111

Hospital & facility affiliations

  • Palmeira Home Healthcare Home health agency, Las Vegas, NV, CCN 297112

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Summerlin Hospital Medical Center L L C Past Accepting new patients
Dignity Health Past Accepting new patients
Voo PC PastSince Dec 1, 2007 Accepting new patients
Southern Hills Medical Center, LLC Past Accepting new patients

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383264000000",
    "number": "1255301347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9811 W CHARLESTON BLVD STE 2-845",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891177528",
            "telephone_number": "702-228-3111",
            "fax_number": "702-228-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5785 S FORT APACHE RD",
            "address_2": "STE. 100B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485659",
            "telephone_number": "702-228-3111",
            "fax_number": "702-228-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADOLFO",
        "first_name": "MARIA",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-23",
        "last_updated": "2013-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "8438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.