Individual provider Active NPI

Rafael Valencia, M.D.

  • Cardiovascular Disease Physician
  • Las Vegas, NV
National Provider Identifier
1366494247
Registry record updated May 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
12207 Issued in NV
Practice address
3150 N Tenaya Way
Ste. 320
Las Vegas, NV 89128-0443
Phone
(702) 240-6482
Fax
(702) 804-0957
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A90757 CA
Cardiovascular Disease Physician 207RC0000X 12207 NV Primary

Addresses

Primary practice location

3150 N Tenaya Way
Ste. 320
Las Vegas, NV 89128-0443

Mailing address

700 E Silverado Ranch Blvd
Suite 170
Las Vegas, NV 89183-7516
Phone (702) 240-6482

Other identifiers 1

IdentifierTypeStateIssuer
100512111MedicaidNV

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070712000122 NV Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 6002829181 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
JS Weill Medical College, Cornell University, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nevada Heart and Vascular Center Resh LLPGroup PAC ID 5395746283, 41 clinicians

Practice addresses (Care Compare)

2724 N Tenaya Way
Suite 100
Las Vegas, NV 89128-0424
Phone (702) 240-6482

2839 Saint Rose Pkwy
Suite 160
Henderson, NV 89052-4849
Phone (702) 240-6482

3150 N Tenaya Way
Suite 135
Las Vegas, NV 89128-0463
Phone (702) 240-6482

401 N Buffalo Dr
Las Vegas, NV 89145-0397
Phone (702) 240-6482

4275 Burnham Ave
Suite 100
Las Vegas, NV 89119-5400
Phone (702) 240-6482

500 E Windmill LN
Suite 140
Las Vegas, NV 89123-1847
Phone (702) 240-6482

56 N Pecos Rd
Suite B
Henderson, NV 89074-7332
Phone (702) 240-6482

8530 W Sunset Rd
Suite 110
Las Vegas, NV 89113-2244
Phone (702) 240-6482

Hospital & facility affiliations

  • Saint Rose Dominican Hospitals - Siena Campus Hospital, Henderson, NV, CCN 290045
  • Henderson Hospital Hospital, Henderson, NV, CCN 290057
  • West Henderson Hospital Hospital, Henderson, NV, CCN 290062
  • Spring Valley Hospital Medical Center Hospital, Las Vegas, NV, CCN 290046
  • Valley Hospital Medical Center Hospital, Las Vegas, NV, CCN 290021

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting21
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nevada Heart and Vascular Center Resh LLP Cardiovascular Disease CurrentSince Aug 6, 2007 Accepting new patients
Nevada Heart and Vascular Center Resh LLP Cardiovascular Disease CurrentSince Aug 6, 2007 Accepting new patients
Dignity Health Past Accepting new patients
Desert Springs Hospital Past Accepting new patients
Spring Valley Medical Center Past Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients
Summerlin Hospital Medical Center L L C Past Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients

Locations

2465 W Horizon Ridge Pkwy
Ste 100
Henderson, NV 89052
Phone (702) 616-0500

56 N Pecos Rd
Ste B
Henderson, NV 89074
Phone (702) 724-8777

700 E Silverado Ranch Blvd
Ste 170
Las Vegas, NV 89183

6525 N Buffalo Dr
Ste 130
Las Vegas, NV 89131
Phone (702) 313-7878

2724 N Tenaya Way
#100
Las Vegas, NV 89128

3150 N Tenaya Way
Ste 135
Las Vegas, NV 89128
Phone (702) 360-6100

4275 Burnham Ave
Ste 100
Las Vegas, NV 89119

3150 N Tenaya Way
Ste 320
Las Vegas, NV 89128
Phone (702) 962-2100

5795 Arville St
Ste 200
Las Vegas, NV 89118

8530 W Sunset Rd
Ste 110
Las Vegas, NV 89113
Phone (702) 489-9000

2075 E Flamingo Rd
Las Vegas, NV 89119
Phone (702) 369-7613

500 E Windmill Ln
Ste 140
Las Vegas, NV 89123

1440 E Calvada Blvd
Ste 700
Pahrump, NV 89048
Phone (702) 933-6400

Interoperability endpoints

  • Direct secure messaging: rvalencia10455@direct.umcsn.com
  • Direct secure messaging: rafael.valencia.1@29724.direct.athenahealth.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 and National Provider Directory roles.

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369180800000",
    "number": "1366494247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E SILVERADO RANCH BLVD",
            "address_2": "SUITE 170",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891837516",
            "telephone_number": "702-240-6482",
            "fax_number": "702-804-0957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 N TENAYA WAY",
            "address_2": "STE. 320",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280443",
            "telephone_number": "702-240-6482",
            "fax_number": "702-804-0957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENCIA",
        "first_name": "RAFAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2013-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A90757",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NV",
            "license": "12207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100512111",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.