NPIMap

Individual provider Active NPI

Lawrence J. Pellegrini, D.O.

  • Emergency Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1346320231
Registry record updated Feb 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
741 Issued in NV
Practice address
3186 S Maryland Pkwy
Department of Emergency Services
Las Vegas, NV 89109-2317
Phone
(702) 893-3833
Fax
(702) 893-4736
NPI assigned
Oct 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 741 NV Primary

Addresses

Primary practice location

3186 S Maryland Pkwy
Department of Emergency Services
Las Vegas, NV 89109-2317

Mailing address

3196 S Maryland Pkwy
Suite 107
Las Vegas, NV 89109-2305
Phone (702) 893-3833

Other identifiers 1

IdentifierTypeStateIssuer
2019800MedicaidNV

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
I20110203000853 NV Practitioner - Emergency Medicine 0749460087 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Midwestern University, Chicago College of Osteopathic Med, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Battle Mountain General HospitalGroup PAC ID 6901710144, shared by 3 NPIs, 7 clinicians

Practice addresses (Care Compare)

535 S Humboldt St
Battle Mountain, NV 89820-1988
Phone (775) 635-2550

Hospital & facility affiliations

  • Battle Mountain General Hospital Hospital, Batte MTN, NV, CCN 291303

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fremont Emergency Services Scherr LTD Emergency Medicine CurrentSince Dec 8, 2017 Accepting new patients
Battle Mountain General Hospital CurrentSince Jul 15, 2024 Accepting new patients
Fremont Emergency Services Scherr LTD Emergency Medicine Current Accepting new patients
Battle Mountain General Hospital Current Accepting new patients
Battle Mountain General Hospital CurrentSince Jul 15, 2024 Accepting new patients
Crum,Stefanko and Jones LTD Emergency Medicine CurrentSince May 30, 2011 Accepting new patients
Fremont Emergency Services Scherr LTD Emergency Medicine CurrentSince Dec 8, 2017 Accepting new patients
Twin Valley Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Nopah Vista Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Battle Mountain General Hospital Past Accepting new patients
Southwest Emergency Services, Inc. Emergency Medicine Past Accepting new patients
Emcare Physician Providers Inc Emergency Medicine Past Accepting new patients

Locations

535 S Humboldt St
Battle Mtn, NV 89820
Phone (775) 635-2424

2001 Errecart Blvd
Elko, NV 89801
Phone (775) 738-5151

3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000

3100 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 225-5025

Interoperability endpoints

  • Direct secure messaging: lawrence.pellegrini.1@18353.direct.athenahealth.com

Organizations & group practices 12

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.

Hospital & facility affiliations 3

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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328227200000",
    "number": "1346320231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3196 S MARYLAND PKWY",
            "address_2": "SUITE 107",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891092305",
            "telephone_number": "702-893-3833",
            "fax_number": "702-893-4736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3186 S MARYLAND PKWY",
            "address_2": "DEPARTMENT OF EMERGENCY SERVICES",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891092317",
            "telephone_number": "702-893-3833",
            "fax_number": "702-893-4736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLEGRINI",
        "first_name": "LAWRENCE",
        "middle_name": "J.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2012-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NV",
            "license": "741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2019800",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.