Edson Erkulvrawatr, M.D.

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

12262 Issued in NV

Practice address

6950 W Desert Inn Rd
Ste 110
Las Vegas, NV 89117-3171

Phone

(702) 259-5550

Fax

(702) 259-5554

NPI assigned

May 16, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Anesthesiology

Education

University of Tennessee, HSC, College of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Nevada Pain Center (Kim) PCGroup PAC ID 5193702090, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DGIIDD/Endpoint/DGIIDD

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.

• Southern Nevada Pain Center Kim PC

  dba Southern Nevada Pain Center

  • Interventional Pain Medicine Physician
  • Las Vegas, NV
  • NPI 1073624011
  Medicare reassignment Care Compare group
• Spring Valley Medical Center

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1346230323

  Interventional Pain Medicine

  NPD (past)

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193961600000",
    "number": "1306053848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6950 W DESERT INN RD",
            "address_2": "STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891173171",
            "telephone_number": "702-259-5550",
            "fax_number": "702-259-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6950 W DESERT INN RD",
            "address_2": "STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891173171",
            "telephone_number": "702-259-5550",
            "fax_number": "702-259-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERKULVRAWATR",
        "first_name": "EDSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2007-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NV",
            "license": "12262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "104448",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nana Ericsson, M.D.
• Erika Kimble PLLC (Parasol Aesthetics, Dermatology & Wellness)
• Erika Montes
• Allen Alva Erisman, D.O.
• Paulette Erkenbrack
• Ivette R Erle
• Mary Lourdes Gerard Erlichman, MD
• Marcus Anthony Erling, MD
• Natalia Ermakova, APRN
• Agnes Ermi

• Interventional Pain Medicine Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Interventional Pain Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; 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.

Verify at the official NPI Registry.