Individual provider Active NPI

Victor Eugene Cohen, MD

  • Allergy & Immunology Physician
  • Las Vegas, NV
National Provider Identifier
1366510463
Registry record updated Oct 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
5662 Issued in NV
Practice address
4445 S Eastern Ave
Ste a
Las Vegas, NV 89119
Phone
(702) 735-1556
Fax
(702) 737-7495
NPI assigned
Nov 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 5662 NV Primary

Addresses

Primary practice location

4445 S Eastern Ave
Ste a
Las Vegas, NV 89119

Mailing address

PO Box 202110
Austin, TX 78720-2110
Phone (512) 732-2774

Other identifiers 1

IdentifierTypeStateIssuer
2002710MedicaidNV

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
I20101202000524 NV Practitioner - Allergy/Immunology 3274729249 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Victor a Estrada MD CHTDGroup PAC ID 7517270705, 3 clinicians

Practice addresses (Care Compare)

2821 W Horizon Ridge Pkwy
Suite 100
Henderson, NV 89052-4429
Phone (702) 735-1556

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Victor a Estrada MD CHTD Allergy & Immunology CurrentSince Sep 18, 2017 Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients
Desert Springs Hospital Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

2821 W Horizon Ridge Pkwy
Ste 100
Henderson, NV 89052
Phone (702) 735-1156

4445 S Eastern Ave
Ste A
Las Vegas, NV 89119
Phone (702) 735-1156

303 E Main St
Round Rock, TX 78664

Interoperability endpoints

  • Direct secure messaging: victoraestradanv.victorecohen@127206.advancedmd-direct.com

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": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508284800000",
    "number": "1366510463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 202110",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787202110",
            "telephone_number": "512-732-2774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4445 S EASTERN AVE",
            "address_2": "STE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89119",
            "telephone_number": "702-735-1556",
            "fax_number": "702-737-7495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "VICTOR",
        "middle_name": "EUGENE",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2017-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NV",
            "license": "5662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2002710",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.