Active NPI
Edward S Victoria, MD
- Family Medicine Physician
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 12452
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 PLLCReliant Physicians Kumar PLLC
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
- Mobile Home Health, Inc
- Caring Nurses Inc
- Palmeira Home Healthcare
- Lorian Health
- Mountainview Hospital
- Advanced Health Care of Summerlin
Merit-based Incentive Payment System (MIPS)
- Final score
- 61.05 of 100
- Quality
- 15
- Improvement activities
- 40
- Cost
- 68.44
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12452 | NV | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reliant Physicians (Kumar) PLLC | Family Medicine | Current | Accepting new patients |
| Edward S. Victoria, PLLC | Family Medicine | Current | 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 | Past | 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
- 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.
-
- Hospitalist Physician
- Las Vegas, NV
- NPI 1093285462
Family Medicine, NV
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1487771812
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1154317964
-
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1194477240
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1104870187
-
- General Acute Care Hospital
- Pomona, CA
- NPI 1518067586
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Las Vegas, NV
- NPI 1235247792
-
- Home Health Agency
- Las Vegas, NV
- NPI 1699323220
-
- Home Health Agency
- Las Vegas, NV
- NPI 1932241510
-
- Home Health Agency
- Las Vegas, NV
- NPI 1891853305
-
- Home Health Agency
- Las Vegas, NV
- NPI 1750854451
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1104870187
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.