Individual provider Active NPI

Pamela L. Kurtzhals, M.D.

  • Surgery Physician
  • Las Vegas, NV
National Provider Identifier
1427038553
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A75524 Issued in CA
Practice address
894 Roseberry Dr
Las Vegas, NV 89138-7559
Phone
(619) 962-6868
NPI assigned
Jan 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A75524 CA Primary

Addresses

Primary practice location

894 Roseberry Dr
Las Vegas, NV 89138-7559

Mailing address

PO Box 33865
San Diego, CA 92163-3865
Phone (858) 888-7700

Other practice location 1

3366 5th Ave
San Diego, CA 92103-5713
Phone (619) 505-1500

Other identifiers 2

IdentifierTypeStateIssuer
19080MedicaidNV
00A755240MedicaidCA

Other names 1

  • Dr. Pamela L. Kurtzhals Brown Former name

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
I20190813001207 NV Practitioner - General Surgery 3870597917 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A75524CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care P.a. CurrentSince Oct 10, 2022 Accepting new patients
American Current Care PA CurrentSince Oct 10, 2022 Accepting new patients
Optum Medical Group Rhodes P C CurrentSince Aug 5, 2019 Accepting new patients
Optum Medical Group Rhodes P C CurrentSince Aug 5, 2019 Accepting new patients

Locations

149 N Gibson Rd
Ste H
Henderson, NV 89014
Phone (702) 558-6275

58 N Pecos Rd
Henderson, NV 89074
Phone (702) 822-2000

255 Glendale Ave
Ste 12
Sparks, NV 89431
Phone (775) 356-8181

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

Interoperability endpoints

  • Direct secure messaging: pamela.kurtzhalsbrown@486851367337988.direct.elationemr.com

Organizations & group practices 4

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": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1427038553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33865",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921633865",
            "telephone_number": "858-888-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "894 ROSEBERRY DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891387559",
            "telephone_number": "619-962-6868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3366 5th Ave",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921035713",
            "country_code": "US",
            "telephone_number": "619-505-1500",
            "fax_number": "858-429-7942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KURTZHALS",
        "first_name": "PAMELA",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-17",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A75524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19080",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A755240",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "KURTZHALS BROWN",
            "middle_name": "L.",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.