Organization Active NPI

Stephen a Gephardt MD LTD

Doing business as Nevada Pain Care

  • Pain Medicine (Anesthesiology) Physician
  • Las Vegas, NV
National Provider Identifier
1376925016
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
4992 Issued in NV
Legal business name
STEPHEN A GEPHARDT MD LTD
Doing business as
Nevada Pain Care
Practice address
7220 S Cimarron Rd Ste 270
Las Vegas, NV 89113-2160
Phone
(702) 912-4100
Fax
(702) 912-4101
NPI assigned
Jun 18, 2015
Last updated
Aug 16, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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

Authorized official

Name
Stephen GephardtNPI 1154307635
Title
MD/Owner
Phone
(702) 912-4100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X 4992 NV Primary

Addresses

Primary practice location

7220 S Cimarron Rd Ste 270
Las Vegas, NV 89113-2160

Mailing address

7220 S Cimarron Rd Ste 270
Las Vegas, NV 89113-2160

Other names 1

  • Nevada Pain Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20211001000212 NV Part B Supplier - Clinic/Group Practice 7315373982 Receives reassigned benefits from 9 practitioners
Practice locations: Henderson, NV; Las Vegas, NV
O20211228002252 NV DME Supplier - Physician - Anesthesiology 7315373982 Practice locations: Las Vegas, NV

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
29D2087543Nevada Compassionate Pain Care7220 S Cimarron Rd Ste 270, Las Vegas, NV 89113AccreditationSep 6, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629072000000",
    "number": "1376925016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7220 S CIMARRON RD STE 270",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7220 S CIMARRON RD STE 270",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132160",
            "telephone_number": "702-912-4100",
            "fax_number": "702-912-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN A GEPHARDT MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-18",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A",
        "authorized_official_last_name": "GEPHARDT",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "702-912-4100"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NV",
            "license": "4992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nevada Pain Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.