Organization Active NPI

Mario Pineiro MD PC

Doing business as Advanced Medical Care

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1417961335
Registry record updated Apr 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
10615 Issued in NV
Legal business name
MARIO PINEIRO MD PC
Doing business as
Advanced Medical Care
Practice address
3663 E Sunset Rd
Suite 302
Las Vegas, NV 89120-3218
Phone
(702) 834-7000
Fax
(702) 834-7001
NPI assigned
Jul 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2012

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

Authorized official

Name
Dr. Mario Pineiro, MDNPI 1306807425
Title
Owner
Phone
(702) 834-7000

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 10615 NV Primary

Addresses

Primary practice location

3663 E Sunset Rd
Suite 302
Las Vegas, NV 89120-3218

Mailing address

PO Box 50070
Henderson, NV 89016-0070
Phone (702) 834-7000

Other identifiers 1

IdentifierTypeStateIssuer
100500903MedicaidNV

Other names 1

  • ADVANCED MEDICAL CARE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060814000164 NV Part B Supplier - Clinic/Group Practice 9739182775 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333670400000",
    "number": "1417961335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50070",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890160070",
            "telephone_number": "702-834-7000",
            "fax_number": "702-834-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3663 E SUNSET RD",
            "address_2": "SUITE 302",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203218",
            "telephone_number": "702-834-7000",
            "fax_number": "702-834-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIO PINEIRO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2012-04-06",
        "status": "A",
        "authorized_official_last_name": "PINEIRO",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-834-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "10615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100500903",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVANCED MEDICAL CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 6, 2012; 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.