NPIMap

Individual provider Active NPI

Samuel Adam Kantor, M.D.

  • Nephrology Physician
  • Las Vegas, NV
National Provider Identifier
1316909864
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
12391 Issued in NV
Practice address
1581 Mount Mariah Dr Ste 150
Las Vegas, NV 89106-1506
Phone
(702) 851-7766
Fax
(702) 851-7760
NPI assigned
Apr 3, 2006
Last updated
May 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 12391 NV Primary

Addresses

Primary practice location

1581 Mount Mariah Dr Ste 150
Las Vegas, NV 89106-1506

Mailing address

2545 S Bruce St Ste 200
Las Vegas, NV 89169-1778
Phone (702) 732-2438

Other practice location 1

2450 Fire Mesa St Ste 110
Las Vegas, NV 89128-9034
Phone (702) 853-0090

Other identifiers 2

IdentifierTypeStateIssuer
1316909864MedicaidNV
300692MedicaidAZ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address skantor35772@direct.acumenmd.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080229000090 NV Practitioner - NephrologyPractitioner - Internal Medicine 3375564529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Starling Medical College, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nkdhc Rudnitsky PLLCGroup PAC ID 1557582210, 44 clinicians

Practice addresses (Care Compare)

1581 Mount Mariah Dr
Suite 150
Las Vegas, NV 89106-1506
Phone (702) 851-7766

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Springs Hospital Past Accepting new patients
West Alabama Nephrology, PC PastSince Sep 30, 1996 Accepting new patients
Spring Valley Medical Center Past Accepting new patients
Nkdhc Rudnitsky PLLC Nephrology Past Accepting new patients
Prestige Family Medicine Nephrology Past Accepting new patients
Augusta Nephrology and Internal Medicine Associates, PC PastSince Jul 18, 2005 Accepting new patients
Summerlin Hospital Medical Center L L C Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: skantor6227@direct.umcsn.com

Organizations & group practices 8

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.

Hospital & facility affiliations 12

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": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1316909864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2545 S BRUCE ST STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891691778",
            "telephone_number": "702-732-2438",
            "fax_number": "702-737-5043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1581 MOUNT MARIAH DR STE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891061506",
            "telephone_number": "702-851-7766",
            "fax_number": "702-851-7760"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2450 Fire Mesa St Ste 110",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891289034",
            "country_code": "US",
            "telephone_number": "702-853-0090",
            "fax_number": "702-853-0096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANTOR",
        "first_name": "SAMUEL",
        "middle_name": "ADAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NV",
            "license": "12391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316909864",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300692",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "skantor35772@direct.acumenmd.com",
            "affiliation": "N",
            "address_1": "1581 Mount Mariah Dr Ste 150",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891061506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.