Summit Medical Group LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

14464 Issued in NV

Legal business name

SUMMIT MEDICAL GROUP LLC

Practice address

11035 Lavender Hill Dr
Ste 160-435
Las Vegas, NV 89135-2955

Phone

(702) 835-9856

Fax

(702) 629-1620

NPI assigned

Dec 28, 2016

Organization subpart

No

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

Authorized official

Name

Shivesh Kumar, MD

Title

Owner

Phone

(702) 370-3497

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Peter Airel, M.D.

  • Gastroenterology Physician
  • Las Vegas, NV
  • NPI 1538222047
  NPD (past)

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

{
    "created_epoch": "1482883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500249600000",
    "number": "1427593573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11035 LAVENDER HILL DR",
            "address_2": "STE 160-435",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891352955",
            "telephone_number": "702-370-3497",
            "fax_number": "702-629-1620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11035 LAVENDER HILL DR",
            "address_2": "STE 160-435",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891352955",
            "telephone_number": "702-835-9856",
            "fax_number": "702-629-1620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-28",
        "last_updated": "2017-07-17",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "SHIVESH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-370-3497",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "14464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summit Integrated Health of Nevada
• Summit Integrated Injury
• Summit Ipo LLC
• Summit Medical Center
• Summit Medical Group (Abdou & Bacchus) PC
• Summit Medical Group of Colorado PC
• Summit Medical Holdings LLC
• Summit Mental Health
• Summit Primary Care & Wellness
• Summit Ridge Calderon PC

• Family Medicine Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Family Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.