Robert William Altrich, PA-C
Individual provider Active NPI Physician Assistant · Henderson, NV
NPI 1265212906 · NPPES record last updated Aug 17, 2026
Key facts
- NPI
- 1265212906
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA3053 (NV)
- Practice address
- 871 Coronado Center Dr Ste 141
Henderson, NV 89052-3977 - Phone
- (702) 566-2400
- NPI assigned
- Oct 2, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240306003619 | CO | Practitioner - Physician Assistant | 2466898960 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA3053 | NV | MD | Pediatrics Physician |
| PA.0008285 | CO | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain View Pain Specialists | Current |
Accepting new patients |
Locations
15901 E Briarwood Cir
Unit 150
Aurora, CO 80016
Phone (303) 645-4363
10807 New Allegiance Dr
Ste 160
Colorado Springs, CO 80921
Phone (719) 249-3547
5445 Dtc Pkwy
Ste 1130
Greenwood Village, CO 80111
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA3053 | NV | Yes |
| Physician Assistant | 363A00000X | PA.0008285 | CO | |
| Pain Medicine Physician | 208VP0000X | PA.0008285 | CO |
Addresses
Primary practice location
871 Coronado Center Dr Ste 141
Henderson, NV 89052-3977
Mailing address
871 Coronado Center Dr Ste 141
Henderson, NV 89052-3977
Phone (702) 566-2400
Other providers in Henderson, NV
- Karen Carpio Alog
- Angel R Alonso
- Kimberly Alridge
- Raya Taher Alsaiegh
- Alta Wellness Center LLC
- Abner Eliud Alvarado Jr.
- Anthony Edward Alvarez
- Audrianna Monique Alvarez
- Janelle Alvarez
- Leanne Alvarez
All providers in Henderson, NV · Physician Assistant in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.