Edwin N Adolfo, MD
Individual provider Active NPI Anesthesiology Physician · Las Vegas, NV
NPI 1477536571 · NPPES record last updated Oct 17, 2017
Key facts
- NPI
- 1477536571
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 7894 (NV)
- Practice address
- 7250 Peak Dr Ste 100
Las Vegas, NV 89128-9028 - Phone
- (702) 386-4700
- Fax
- (702) 386-4701
- NPI assigned
- Nov 22, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- PBS Anesthesia LLC
Practice addresses (Care Compare)
7250 Peak Dr
Suite 100
Las Vegas, NV 89128-9028
Phone (702) 386-4700
Hospital & facility affiliations
- Summerlin Hospital Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061122000185 | NV | Practitioner - Anesthesiology | 5698773851 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7894 | NV | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PBS Anesthesia LLC | Current |
Accepting new patients | |
| Dodd Hyer, M.D. LTD | Anesthesiology | Past | Accepting new patients |
Locations
2635 Box Canyon Dr
Bldg 4
Las Vegas, NV 89128
2635 Box Canyon Dr
Las Vegas, NV 89128
Phone (702) 850-3003
7250 Peak Dr
Ste 100
Las Vegas, NV 89128
Phone (702) 245-5960
3157 N Rainbow Blvd
Las Vegas, NV 89108
Interoperability endpoints
- eadolfo13264@direct.umcsn.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 7894 | NV | Yes |
Addresses
Primary practice location
7250 Peak Dr Ste 100
Las Vegas, NV 89128-9028
Mailing address
3157 N Rainbow Blvd # 518
Las Vegas, NV 89108-4578
Phone (702) 386-4700
Other practice location 1
7326 W. Cheyenne Ave
Las Vegas, NV 89129
Phone (702) 386-4700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002018214 | Medicaid | NV | |
| 1477536571 | Medicaid | NV |
Other providers in Las Vegas, NV
- Merem Admon
- Adobe Care and Wellness Nevada LLC
- Ehikhuemen Adodo
- Adoka Inc
- Jillian Dann Pacie Adol
- Maria C Adolfo
- Marissa Schanbacher Adolfo
- Zenaida Adolfo
- Jasmine Adolphus
- Adonai Counseling & Consulting, PLLC
All providers in Las Vegas, NV · Anesthesiology Physician in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.