Individual provider Active NPI

Edward S Victoria, MD

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1447463500
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
12452 Issued in NV
Practice address
2701 N Tenaya Way Ste 190
Las Vegas, NV 89128-1405
Phone
(702) 463-3008
Fax
(702) 463-3051
NPI assigned
May 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 12452 NV
Family Medicine Physician 207Q00000X 12452 NV Primary

Addresses

Primary practice location

2701 N Tenaya Way Ste 190
Las Vegas, NV 89128-1405

Mailing address

2701 N Tenaya Way Ste 190
Las Vegas, NV 89128-1405
Phone (702) 463-3008

Other practice location 1

1180 N Town Center Dr Ste 100
Las Vegas, NV 89144-6308
Phone (702) 202-2060

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
I20071001000588 NV Practitioner - Family Practice 5991899353 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Edward S Victoria PLLCGroup PAC ID 3577886795, 3 clinicians
Reliant Physicians Kumar PLLCGroup PAC ID 3577893965, 37 clinicians

Practice addresses (Care Compare)

2701 N Tenaya Way
Suite 190
Las Vegas, NV 89128-1405
Phone (702) 463-3008

6090 S Fort Apache Rd
Suite 140
Las Vegas, NV 89148-5618
Phone (702) 202-0534

Hospital & facility affiliations

  • Family Home Healthcare Inc Home health agency, Las Vegas, NV, CCN 297258
  • Mobile Home Health, Inc Home health agency, Las Vegas, NV, CCN 297270
  • Caring Nurses Inc Home health agency, Las Vegas, NV, CCN 297068
  • Palmeira Home Healthcare Home health agency, Las Vegas, NV, CCN 297112
  • Lorian Health Home health agency, Las Vegas, NV, CCN 297099
  • Mountainview Hospital Hospital, Las Vegas, NV, CCN 290039
  • Advanced Health Care of Summerlin Nursing home, Las Vegas, NV, CCN 295092

Merit-based Incentive Payment System (MIPS)

Final score
61.05 of 100Reported as individual
Quality
15
Improvement activities
40
Cost
68.44

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
12452NVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Reliant Physicians (Kumar) PLLC Family Medicine CurrentSince Mar 4, 2020 Accepting new patients
Edward S. Victoria, PLLC Family Medicine CurrentSince Dec 1, 2014 Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients
Desert Springs Hospital Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Reliant Physicians (Kumar) PLLC PastSince Sep 24, 2023 Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients

Locations

2701 N Tenaya Way
Ste 190
Las Vegas, NV 89128
Phone (702) 463-3008

6090 S Fort Apache Rd
Ste 140
Las Vegas, NV 89148
Phone (702) 202-0534

1140 N Town Center Dr
Ste 100
Las Vegas, NV 89144
Phone (702) 202-2060

2701 N Tenaya Way
Ste 230
Las Vegas, NV 89128
Phone (702) 248-3668

1180 N Town Center Dr
Ste 100
Las Vegas, NV 89144
Phone (702) 202-2060

Interoperability endpoints

  • Direct secure messaging: edward.victoria.1@14371.direct.athenahealth.com

Organizations & group practices 7

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1447463500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 N TENAYA WAY STE 190",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891281405",
            "telephone_number": "702-463-3008",
            "fax_number": "702-304-2147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 N TENAYA WAY STE 190",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891281405",
            "telephone_number": "702-463-3008",
            "fax_number": "702-463-3051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1180 N Town Center Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891446308",
            "country_code": "US",
            "telephone_number": "702-202-2060",
            "fax_number": "702-605-2892",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VICTORIA",
        "first_name": "EDWARD",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NV",
            "license": "12452",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "12452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.