Active NPI
Alpine Hospitalist Group LLLP
- Family Medicine Physician
- Las Vegas, NV
National Provider Identifier
1457783987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 11478
- Legal business name
- ALPINE HOSPITALIST GROUP LLLP
- Practice address
- 3061 S Maryland Pkwy Ste 104
Las Vegas, NV 89109-6226 - Phone
- (024) 385-5557
- Fax
- (702) 438-6666
- NPI assigned
- Aug 7, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alexander Akhavan, MD
- Title
- General Partner
- Phone
- (702) 561-5536
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 11478 | NV | Primary |
Addresses
Primary practice location
3061 S Maryland Pkwy Ste 104
Las Vegas, NV 89109-6226
Mailing address
3022 S Durango Dr
Suite 100
Las Vegas, NV 89117-4439
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140310000062 | NV | Part B Supplier - Clinic/Group Practice | 8022248293 |
Receives reassigned benefits from 4 practitioners Practice locations: Las Vegas, NV |
National Provider Directory
National Provider DirectoryPractitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Las Vegas, NV
- NPI 1801898374
Family Medicine, NV
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1665619200000",
"number": "1457783987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3022 S DURANGO DR",
"address_2": "SUITE 100",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891174439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3061 S MARYLAND PKWY STE 104",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891096226",
"telephone_number": "024-385-5557",
"fax_number": "702-438-6666"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALPINE HOSPITALIST GROUP LLLP",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-07",
"last_updated": "2022-10-13",
"certification_date": "2022-10-13",
"status": "A",
"authorized_official_last_name": "AKHAVAN",
"authorized_official_first_name": "ALEXANDER",
"authorized_official_title_or_position": "GENERAL PARTNER",
"authorized_official_telephone_number": "702-561-5536",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "NV",
"license": "11478",
"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 Oct 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.