Beraldo A Vazquez Correa, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

5720 Issued in NV

Practice address

825 S Main Street
#B393
Tonopah, NV 89049

Phone

(775) 382-2000

Fax

(775) 319-4130

NPI assigned

May 20, 2006

Last updated

Jan 19, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Beraldo A Vazquez Professional name

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

Specialty

Internal Medicine

Education

Ponce School of Medicine, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pahrump Pain Free LLCGroup PAC ID 7517407844, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BEIIDD/Endpoint/BEIIDD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pahrump Pain Free LLC

  • Chiropractor
  • Pahrump, NV
  • NPI 1568290856

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Frontier Medical Group LLC

  • Rural Health Clinic/Center
  • Tonopah, NV
  • NPI 1518691724

  Family Medicine

  Medicare reassignment NPD
• Western State Pain Institute

  • Pain Clinic/Center
  • Las Vegas, NV
  • NPI 1932693447
  Medicare reassignment NPD
• Bacchus PC

  dba P3 Health Partners Medical Group

  • Family Medicine Physician
  • Henderson, NV
  • NPI 1134628480
  NPD (past)
• Healthcare Partners Medical Group (Coats), LTD.

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1245217694
  NPD (past)
• Inpatient Consultants of Nevada, Inc. a Medical Corporation

  • Hospitalist Physician
  • Las Vegas, NV
  • NPI 1821041070

  Internal Medicine

  NPD (past)
• Musnitanandvazquezltd

  • Physician Assistant
  • Las Vegas, NV
  • NPI 1972684629

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1417901901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2764 N GREEN VALLEY PKWY # 376",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890142120",
            "telephone_number": "702-374-6949",
            "fax_number": "702-616-0657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 S MAIN STREET",
            "address_2": "#B393",
            "city": "TONOPAH",
            "state": "NV",
            "postal_code": "89049",
            "telephone_number": "775-382-2000",
            "fax_number": "775-319-4130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ CORREA",
        "first_name": "BERALDO",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "5720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417901901",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BERALDO",
            "last_name": "VAZQUEZ",
            "middle_name": "A",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Julie Ann Stage-Rosenberg, RDH, MPH
• State of Nevada (Tonopah Mental Health Center)
• Craig A Strobel, D.O.
• Dacota J Terry
• Tonopah Primary Care LLC
• Christopher John Vondippe, M.D.
• Westcare Nevada Inc

• Internal Medicine Physician in Tonopah, NV
• Providers in Tonopah, NV by specialty
• Internal Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.