Individual provider Active NPI

Kent Alan Swaine, M.D.

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1386697415
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
13917 Issued in NV
Practice address
2050 Pinto Lane
Ste 200
Las Vegas, NV 89106
Phone
(702) 233-3444
Fax
(702) 233-6998
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 13917 NV Primary

Addresses

Primary practice location

2050 Pinto Lane
Ste 200
Las Vegas, NV 89106

Mailing address

2050 Pinto Lane
Suite 2
Las Vegas, NV 89117-9186
Phone (702) 483-2408

Other identifiers 1

IdentifierTypeStateIssuer
002018525MedicaidNV

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
I20040329000615 NV Practitioner - Family Practice 4284526740 Reassigns benefits to 2 organizations
Practice locations: Las Vegas, NV

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1998
Medicare assignment
May accept Medicare assignment
Group practices
Women'S Cancer Center of Nevada IncGroup PAC ID 6305878638, 6 clinicians

Practice addresses (Care Compare)

2050 Pinto Lane
Suite 200
Las Vegas, NV 89106
Phone (702) 693-6870

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
13917NVMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Women'S Cancer Center of Nevada Inc CurrentSince Apr 28, 2025 Accepting new patients
Kent Swaine MD PC PastSince Nov 22, 2002 Accepting new patients
Charleston Residential Services LLC Past Accepting new patients
Craig M Jorgenson MD LTD Internal Medicine Past Accepting new patients

Locations

3131 La Canada St
Ste 110
Las Vegas, NV 89169
Phone (702) 693-6870

Organizations & group practices 5

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1386697415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 PINTO LANE",
            "address_2": "SUITE 2",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891179186",
            "telephone_number": "702-483-2408",
            "fax_number": "702-942-4388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 PINTO LANE",
            "address_2": "STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89106",
            "telephone_number": "702-233-3444",
            "fax_number": "702-233-6998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWAINE",
        "first_name": "KENT",
        "middle_name": "ALAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "13917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002018525",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.