Individual provider Active NPI

Libby K Kristal, MD

  • Ophthalmology Physician
  • Henderson, NV
National Provider Identifier
1326240144
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
15023 Issued in NV
Practice address
2390 W Horizon Ridge Pkwy Ste 100
Henderson, NV 89052-5084
Phone
(702) 825-2085
Fax
(702) 852-5743
NPI assigned
Jun 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 15023 NV Primary

Addresses

Primary practice location

2390 W Horizon Ridge Pkwy Ste 100
Henderson, NV 89052-5084

Mailing address

2390 W Horizon Ridge Pkwy Ste 100
Henderson, NV 89052-5084
Phone (702) 825-2085

Other practice location 1

7190 Smoke Ranch Rd Ste 110
Las Vegas, NV 89128-8398
Phone (702) 825-2085

Other identifiers 1

IdentifierTypeStateIssuer
1326240144MedicaidNV

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140224000986 NV Practitioner - Ophthalmology 8921019456 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shepherd Eye Center LTDGroup PAC ID 9234125907, 42 clinicians

Practice addresses (Care Compare)

2390 W Horizon Ridge Pkwy
Suite 100
Henderson, NV 89052-5084
Phone (702) 825-2085

Merit-based Incentive Payment System (MIPS)

Final score
83.99 of 100Reported as group
Quality
82.33
Improvement activities
40
Cost
79.02

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery58

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shepherd Eye Center, LTD Ophthalmology CurrentSince Dec 14, 2022 Accepting new patients
Shepherd Eye Center, LTD Ophthalmology CurrentSince Dec 14, 2022 Accepting new patients
Shepherd Eye Center, LTD Ophthalmology Past Accepting new patients
Dignity Health Past Accepting new patients
Ottawa Regional Hospital & Healthcare Center Past Accepting new patients
Illinois Valley Eye Inst Ophthalmology PastSince Jan 2, 1940 Accepting new patients

Locations

2390 W Horizon Ridge Pkwy
Ste 100
Henderson, NV 89052
Phone (702) 472-9902

2850 W Horizon Ridge Pkwy
Ste 300
Henderson, NV 89052
Phone (702) 202-4776

2020 Wellness Way
Ste 401
Las Vegas, NV 89106
Phone (702) 380-1059

501 Rose St
Ste 150
Las Vegas, NV 89106
Phone (702) 384-7770

3575 Pecos McLeod
Las Vegas, NV 89121
Phone (512) 314-1612

7190 Smoke Ranch Rd
Ste 110
Las Vegas, NV 89128
Phone (702) 472-9902

Interoperability endpoints

  • Direct secure messaging: lkristal@cepnv-nes.emadirect.md

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1326240144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2390 W HORIZON RIDGE PKWY STE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890525084",
            "telephone_number": "702-825-2085",
            "fax_number": "702-852-5743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2390 W HORIZON RIDGE PKWY STE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890525084",
            "telephone_number": "702-825-2085",
            "fax_number": "702-852-5743"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7190 Smoke Ranch Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891288398",
            "country_code": "US",
            "telephone_number": "702-825-2085",
            "fax_number": "702-852-5743",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRISTAL",
        "first_name": "LIBBY",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-04",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NV",
            "license": "15023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1326240144",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.