Active NPI
Laura D Addis, D.O.
- Internal Medicine Physician
- Henderson, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 1216
- Practice address
- 390 W Lake Mead Pkwy Ste 120
Henderson, NV 89015-7417 - Phone
- (725) 220-8477
- Fax
- (833) 749-0360
- NPI assigned
- Nov 15, 2006
- Last updated
- Dec 14, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 1216 | NV | Primary |
Addresses
Primary practice location
390 W Lake Mead Pkwy Ste 120
Henderson, NV 89015-7417
Mailing address
390 W Lake Mead Pkwy Ste 120
Henderson, NV 89015-7417
Phone (725) 220-8477
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316010895 | Medicaid | NV |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | laura.addis@centerwell.eclinicaldirectplus.com | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
301 N Pecos Rd
Suite E
Henderson, NV 89074-1350
Phone (725) 200-4391
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1216 | NV | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| VMD Primary Providers Nevada Asplin PC | Internal Medicine | Current | Accepting new patients |
| Healthcare Partners Medical Group Coats LTD | Internal Medicine | Current | Accepting new patients |
| Dana Forte D O LTD | Internal Medicine | Current | Accepting new patients |
| Addis Advanced Medical Associates LLC | Internal Medicine | Current | Accepting new patients |
| Intermountain Medical Holdings Nevada Inc | Internal Medicine | Past | Accepting new patients |
| Wolfson & Wolfson LLP | Past | Accepting new patients | |
| Qazi Makhija & Barney LLP | Past | Accepting new patients | |
| Albion Medical Group of Nevada, PC | Internal Medicine | Past | Accepting new patients |
| Physicians Medical Center Kaufman, LTD | Past | Accepting new patients |
Locations
301 N Pecos Rd
Ste E
Henderson, NV 89074
Phone (702) 326-5996
601 S Green Valley Pkwy
Henderson, NV 89052
Phone (702) 896-2956
2481 Professional Ct
Las Vegas, NV 89128
Phone (702) 213-8253
4845 S Rainbow Blvd
Ste 402
Las Vegas, NV 89103
Phone (702) 362-9800
9010 W Cheyenne Ave
Las Vegas, NV 89129
Phone (702) 240-8646
Interoperability endpoints
- laura.addis.1@31526.direct.athenahealth.com
- laura.addis@centerwell.eclinicaldirectplus.com
Organizations & group practices 9
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.
-
- Internal Medicine Physician
- Henderson, NV
- NPI 1861221418
-
dba Forte Family Practice
- Family Medicine Physician
- Las Vegas, NV
- NPI 1649209420
Internal Medicine
-
- Family Medicine Physician
- Las Vegas, NV
- NPI 1285210757
Internal Medicine
-
- Family Medicine Physician
- Las Vegas, NV
- NPI 1487631917
Internal Medicine
-
dba CareMore Medical Group of Nevada (Worku), PC
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1578840724
-
dba Intermountain Health
- Internal Medicine Physician
- Henderson, NV
- NPI 1245997279
-
- Pulmonary Disease Physician
- Las Vegas, NV
- NPI 1952356412
-
- Nephrology Physician
- Las Vegas, NV
- NPI 1548330046
-
- Family Medicine Physician
- Las Vegas, NV
- NPI 1376635045
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Las Vegas, NV
- NPI 1154824985
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639440000000",
"number": "1316010895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "390 W LAKE MEAD PKWY STE 120",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890157417",
"telephone_number": "725-220-8477",
"fax_number": "833-749-0360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "390 W LAKE MEAD PKWY STE 120",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890157417",
"telephone_number": "725-220-8477",
"fax_number": "833-749-0360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADDIS",
"first_name": "LAURA",
"middle_name": "D",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-15",
"last_updated": "2021-12-14",
"certification_date": "2021-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NV",
"license": "1216",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1316010895",
"state": "NV"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "laura.addis@centerwell.eclinicaldirectplus.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "390 W Lake Mead Pkwy Ste 120",
"city": "Henderson",
"state": "NV",
"country_code": "US",
"postal_code": "890157417",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.