Individual provider Active NPI

G. A Deandrea, MD

  • Neurology Physician
  • Las Vegas, NV
National Provider Identifier
1437295938
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD15369 Issued in NV
Practice address
1707 W Charleston Blvd Ste 290
Las Vegas, NV 89102-2353
Phone
(702) 790-2255
Fax
(702) 870-0037
NPI assigned
Jan 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD00026727 WA
Neurology Physician 2084N0400X ME72061 FL
Neurology Physician 2084N0400X MD156525 OR
Neurology Physician 2084N0400X MD15369 NV Primary

Addresses

Primary practice location

1707 W Charleston Blvd Ste 290
Las Vegas, NV 89102-2353

Mailing address

1701 W Charleston Blvd Ste 250
Las Vegas, NV 89102-2308
Phone (702) 790-2255

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
I20141212002280 NV Practitioner - Neurology 9032168760 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Georgetown University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unlv MedicineGroup PAC ID 4183991458, 177 clinicians

Practice addresses (Care Compare)

1707 W Charleston Blvd
Suite 290
Las Vegas, NV 89102-2353
Phone (702) 671-6469

Merit-based Incentive Payment System (MIPS)

Final score
98.01 of 100Reported as apm
Quality
84.78
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME72061FLMDNeurology Physician
MD15369NVMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unlv Medicine Internal Medicine Current Accepting new patients
Unlv Medicine CurrentSince Oct 9, 2024 Accepting new patients
Unlv Medicine CurrentSince Oct 9, 2024 Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients
Desert Springs Hospital Past Accepting new patients
Asante Physician Partners Family Medicine PastSince Nov 1, 2012 Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

1701 W Charleston Blvd
Ste 290
Las Vegas, NV 89102
Phone (702) 671-2385

1701 W Charleston Blvd
Ste 250
Las Vegas, NV 89102
Phone (702) 671-2341

3016 W Charleston Blvd
Ste 100
Las Vegas, NV 89102
Phone (702) 780-2315

2410 Fire Mesa St
Ste 180
Las Vegas, NV 89128
Phone (702) 202-2700

1707 W Charleston Blvd
Ste 290
Las Vegas, NV 89102
Phone (702) 671-5139

3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000

1707 W Charleston Blvd
Ste 110
Las Vegas, NV 89102
Phone (702) 671-2300

Organizations & group practices 9

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": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1437295938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 W CHARLESTON BLVD STE 250",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022308",
            "telephone_number": "702-790-2255",
            "fax_number": "702-870-0037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 W CHARLESTON BLVD STE 290",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022353",
            "telephone_number": "702-790-2255",
            "fax_number": "702-870-0037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEANDREA",
        "first_name": "G.",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WA",
            "license": "MD00026727",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME72061",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OR",
            "license": "MD156525",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NV",
            "license": "MD15369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.