NPIMap

Organization Active NPI

Crovetti Bone and Joint Institute of Southern Nevada

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Henderson, NV
National Provider Identifier
1487788873
Registry record updated Apr 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
Legal business name
CROVETTI BONE AND JOINT INSTITUTE OF SOUTHERN NEVADA
Practice address
2779 W Horizon Ridge Pkwy
Ste. 200
Henderson, NV 89052-4380
Phone
(702) 990-2290
Fax
(702) 990-2297
NPI assigned
Mar 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2018

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

Authorized official

Name
Dr. Michael J Crovetti, DONPI 1033269147
Title
Physician
Phone
(702) 990-2290

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)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XX0005X NV Primary

Addresses

Primary practice location

2779 W Horizon Ridge Pkwy
Ste. 200
Henderson, NV 89052-4380

Mailing address

2779 W Horizon Ridge Pkwy
Ste. 200
Henderson, NV 89052-4380
Phone (702) 990-2290

Other names 1

  • Crovetti Orthopaedics and Sports Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031223000153 NV Part B Supplier - Clinic/Group Practice 8527966936 Receives reassigned benefits from 20 practitioners
Practice locations: Henderson, NV; Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

10040 Alta Dr
Ste 140
Las Vegas, NV 89145

Practitioners & affiliated clinicians

Practitioners 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523404800000",
    "number": "1487788873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2779 W HORIZON RIDGE PKWY",
            "address_2": "STE. 200",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524380",
            "telephone_number": "702-990-2290",
            "fax_number": "702-990-2297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2779 W HORIZON RIDGE PKWY",
            "address_2": "STE. 200",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524380",
            "telephone_number": "702-990-2290",
            "fax_number": "702-990-2297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROVETTI BONE AND JOINT INSTITUTE OF SOUTHERN NEVADA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2018-04-11",
        "status": "A",
        "authorized_official_last_name": "CROVETTI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "702-990-2290",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crovetti Orthopaedics and Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2018; 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.

Verify at the official NPI Registry.