Individual provider Active NPI

Mark W. Doubrava, M.D.

  • Ophthalmology Physician
  • Las Vegas, NV
National Provider Identifier
1447214564
Registry record updated Jan 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
7190 Issued in NV
Practice address
9011 W Sahara Ave
Suite 101
Las Vegas, NV 89117-4800
Phone
(702) 794-2020
Fax
(702) 732-4108
NPI assigned
Apr 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G071917 CA
Ophthalmology Physician 207W00000X 7190 NV Primary

Addresses

Primary practice location

9011 W Sahara Ave
Suite 101
Las Vegas, NV 89117-4800

Mailing address

9011 W Sahara Ave
Suite 101
Las Vegas, NV 89117-4800
Phone (702) 794-2020

Other identifiers 1

IdentifierTypeStateIssuer
002019869MedicaidNV

Other names 1

  • Sabrina Diab Doubrava Professional 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
I20111216000611 NV Practitioner - Ophthalmology 9032384227 Receives reassigned benefits from 2 practitioners
Practice locations: Las Vegas, NV

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9011 W Sahara Ave
Las Vegas, NV 89117-4801
Phone (702) 794-2020

Merit-based Incentive Payment System (MIPS)

Final score
91.96 of 100Reported as individual
Quality
93.08
Improvement activities
40
Cost
82.43

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery138

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G071917CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mark W. Doubrava M.D. Dba Eye Care for Nevada CurrentSince Jan 1, 1989 Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients
Summerlin Hospital Medical Center L L C Past Accepting new patients

Locations

9011 W Sahara Ave
Ste 101
Las Vegas, NV 89117
Phone (702) 792-3937

Interoperability endpoints

  • Direct secure messaging: mdoubrava@eyecarefornevada.direct.eyemdemr.com

Practitioners & affiliated clinicians

Practitioners 2

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

Organizations & group practices 3

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": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1447214564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9011 W SAHARA AVE",
            "address_2": "SUITE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891174800",
            "telephone_number": "702-794-2020",
            "fax_number": "702-732-4108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9011 W SAHARA AVE",
            "address_2": "SUITE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891174800",
            "telephone_number": "702-794-2020",
            "fax_number": "702-732-4108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUBRAVA",
        "first_name": "MARK",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G071917",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NV",
            "license": "7190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002019869",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SABRINA",
            "last_name": "DOUBRAVA",
            "middle_name": "DIAB",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.