Organization Active NPI

Nevada Integrated Healthcare

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1306437710
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
NEVADA INTEGRATED HEALTHCARE
Practice address
10155 W Twain Ave Ste 110
Las Vegas, NV 89147-6723
Phone
(702) 848-5644
Fax
(702) 848-5415
NPI assigned
Jan 28, 2021
Last updated
Jan 24, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2022

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

Authorized official

Name
Amit Valera, D.O.NPI 1649487257
Title
Manager
Phone
(702) 848-5644

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X
Multi-Specialty Clinic/Center 261QM1300X
Methadone Clinic 261QM2800X
Primary Care Clinic/Center 261QP2300X
Urgent Care Clinic/Center 261QU0200X
Internal Medicine Physician 207R00000X Primary
Addiction Medicine (Internal Medicine) Physician 207RA0401X
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

10155 W Twain Ave Ste 110
Las Vegas, NV 89147-6723

Mailing address

10155 W Twain Ave Ste 110
Las Vegas, NV 89147-6723
Phone (702) 848-5644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210211000966 NV Part B Supplier - Clinic/Group Practice 1153736822 Receives reassigned benefits from 5 practitioners
Practice locations: Las Vegas, NV

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
29D2253555Nevada Integrated Healthcare10155 W Twain Ave, Ste 110, Las Vegas, NV 89147Certificate of waiverFeb 21, 2028

National Provider Directory

National Provider Directory

Locations

1614 E Lake Mead Blvd
North Las Vegas, NV 89030

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1611792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642982400000",
    "number": "1306437710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10155 W TWAIN AVE STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891476723",
            "telephone_number": "702-848-5644",
            "fax_number": "702-848-5415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10155 W TWAIN AVE STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891476723",
            "telephone_number": "702-848-5644",
            "fax_number": "702-848-5415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEVADA INTEGRATED HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-28",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A",
        "authorized_official_last_name": "VALERA",
        "authorized_official_first_name": "AMIT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-848-5644",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Jan 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.