Organization Active NPI

Maria C Adolfo MD LTD

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1407045180
Registry record updated Aug 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MARIA C ADOLFO MD LTD
Practice address
8285 W Arby Ave Ste 325
Las Vegas, NV 89113-2246
Phone
(702) 228-3111
Fax
(702) 233-2328
NPI assigned
Oct 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2011

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

Authorized official

Name
Maria C Adolfo, MDNPI 1255301347
Title
President
Phone
(702) 228-3111

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

8285 W Arby Ave Ste 325
Las Vegas, NV 89113-2246

Mailing address

9811 W Charleston Blvd Ste 2-845
Las Vegas, NV 89117-7528
Phone (702) 228-3111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080116000705 NV Part B Supplier - Clinic/Group Practice 8921189895 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

8285 W Arby Ave
Ste 325
Las Vegas, NV 89113
Phone (702) 228-3111

5785 S Fort Apache Rd
Ste 100B
Las Vegas, NV 89148
Phone (702) 228-3111

9811 W Charleston Blvd
Ste 2845
Las Vegas, NV 89117
Phone (702) 228-3111

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314144000000",
    "number": "1407045180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9811 W CHARLESTON BLVD STE 2-845",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891177528",
            "telephone_number": "702-228-3111",
            "fax_number": "702-233-2328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8285 W ARBY AVE STE 325",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132246",
            "telephone_number": "702-228-3111",
            "fax_number": "702-233-2328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA C ADOLFO MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2011-08-24",
        "status": "A",
        "authorized_official_last_name": "ADOLFO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-228-3111",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.