Individual provider Active NPI

Aleksandr Krivonovskiy, MD

  • Hospitalist Physician
  • Las Vegas, NV
National Provider Identifier
1386686566
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
12329 Issued in NV
Practice address
2720 N Tenaya Way FL 5
Las Vegas, NV 89128-0424
Phone
(702) 877-8600
Fax
(702) 242-7944
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X APPLIED NY
Family Medicine Physician 207Q00000X 12329 NV
Hospitalist Physician 208M00000X 12329 NV Primary

Addresses

Primary practice location

2720 N Tenaya Way FL 5
Las Vegas, NV 89128-0424

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 579-3203

Other identifiers 2

IdentifierTypeStateIssuer
1386686566MedicaidNV
APPLIEDMedicaidNY

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
I20080109000465 NV Practitioner - Family Practice 6800891565 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optum Medical Group II Rhodes P CGroup PAC ID 4981687779, 296 clinicians

Practice addresses (Care Compare)

10105 Banburry Cross Dr
Las Vegas, NV 89144-6646
Phone (702) 579-3253

420 N Nellis Blvd
Las Vegas, NV 89110-5364
Phone (702) 579-3253

540 N Nellis Blvd
Las Vegas, NV 89110-5368
Phone (702) 579-3253

Hospital & facility affiliations

  • Summerlin Hospital Medical Center Hospital, Las Vegas, NV, CCN 290041

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
240634NYMDRegistered Nurse
12329NVMDFamily Medicine Physician
APPLIEDNYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Medical Associates, Inc CurrentSince Sep 10, 2007 Accepting new patients
Optum Medical Group II Rhodes P C CurrentSince Jun 9, 2019 Accepting new patients
Optum Medical Group Rhodes P C CurrentSince Jun 9, 2019 Accepting new patients
Summerlin Hospital Medical Center L L C Past Accepting new patients
Niagara Falls Memorial Medical Center Hospitalist Past Accepting new patients
Niagara Hospitalist, PC Hospitalist Past Accepting new patients

Locations

2720 N Tenaya Way
Fl 5
Las Vegas, NV 89128

2704 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 243-8500

2716 N Tenaya Way
Fl 5
Las Vegas, NV 89128
Phone (702) 838-2058

420 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 339-5710

2316 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 877-8330

Interoperability endpoints

  • Direct secure messaging: akrivonovskiy119182@westdirect.optum.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.

Hospital & facility affiliations 2

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1386686566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380",
            "telephone_number": "702-579-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 N TENAYA WAY FL 5",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280424",
            "telephone_number": "702-877-8600",
            "fax_number": "702-242-7944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIVONOVSKIY",
        "first_name": "ALEKSANDR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "APPLIED",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "12329",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NV",
            "license": "12329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1386686566",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "APPLIED",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.