Individual provider Active NPI

Alexa Dorricott, M.D.

  • Surgery Physician
  • Las Vegas, NV
National Provider Identifier
1407207152
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
21190 Issued in NV
Practice address
3131 La Canada St Ste 217
Las Vegas, NV 89169-2579
Phone
(702) 369-7152
Fax
(702) 369-7153
NPI assigned
Jun 23, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Critical Care Physician 2086S0102X 21190 NV
Surgery Physician 208600000X 21190 NV Primary

Addresses

Primary practice location

3131 La Canada St Ste 217
Las Vegas, NV 89169-2579

Mailing address

3131 La Canada St Ste 217
Las Vegas, NV 89169-2579
Phone (702) 369-7152

Other practice location 1

1707 W Charleston Blvd Ste 160
Las Vegas, NV 89102-2354
Phone (702) 671-5150

Other practice location 2

1500 S Fairfield Ave
Chicago, IL 60608-1782
Phone (773) 257-6464

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
I20220426000596 NV Practitioner - General Surgery 2163827809 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Desert Surgical Associates Fisher PLLCGroup PAC ID 3375671803, 7 clinicians

Practice addresses (Care Compare)

3131 La Canada St
Suite 217
Las Vegas, NV 89169-2579
Phone (702) 369-7152

Hospital & facility affiliations

  • Sunrise Hospital and Medical Center Hospital, Las Vegas, NV, CCN 290003
  • Kingman Regional Medical Center Hospital, Kingman, AZ, CCN 030055
  • Valley View Medical Center Hospital, Fort Mohave, AZ, CCN 030117
  • Havasu Regional Medical Center Hospital, Lake Havasu City, AZ, CCN 030069
  • Western Arizona Regional Medical Center Hospital, Bullhead City, AZ, CCN 030101

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Surgical Associates Fisher PLLC Surgery CurrentSince Jul 1, 2023 Accepting new patients
Lubbock County Hospital District Past Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients

Locations

3131 La Canada St
Ste 217
Las Vegas, NV 89169
Phone (702) 369-7152

3196 S Maryland Pkwy
Ste 101A
Las Vegas, NV 89109
Phone (702) 369-7152

Organizations & group practices 3

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 6

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": "1466640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1407207152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 LA CANADA ST STE 217",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891692579",
            "telephone_number": "702-369-7152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 LA CANADA ST STE 217",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891692579",
            "telephone_number": "702-369-7152",
            "fax_number": "702-369-7153"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1707 W Charleston Blvd Ste 160",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891022354",
            "country_code": "US",
            "telephone_number": "702-671-5150",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 S Fairfield Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606081782",
            "country_code": "US",
            "telephone_number": "773-257-6464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DORRICOTT",
        "first_name": "ALEXA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-23",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "NV",
            "license": "21190",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NV",
            "license": "21190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.