Active NPI
Arthur Benjamin Pitterman, MD
- Internal Medicine Physician
- Las Vegas, NV
National Provider Identifier
1497743017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4846
- Practice address
- 1706 Bearden Dr
Las Vegas, NV 89106 - Phone
- (702) 366-1250
- Fax
- (702) 366-7068
- NPI assigned
- Oct 7, 2005
- Reactivated
- Aug 20, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4846 | NV | Primary |
Addresses
Primary practice location
1706 Bearden Dr
Las Vegas, NV 89106
Mailing address
1706 Bearden Dr
Las Vegas, NV 89106
Phone (702) 366-1250
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110006344 | Other | NV | RAILROAD MEDICARE |
| 25920 | Other | BLUE CROSS BLUE SHIELD | |
| 002002664 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4846 | NV | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arthur B Pitterman MD | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1497938203
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629417600000",
"number": "1497743017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1706 BEARDEN DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89106",
"telephone_number": "702-366-1250",
"fax_number": "702-366-7068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1706 BEARDEN DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89106",
"telephone_number": "702-366-1250",
"fax_number": "702-366-7068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITTERMAN",
"first_name": "ARTHUR",
"middle_name": "BENJAMIN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-07",
"last_updated": "2021-08-20",
"certification_date": "2021-08-20",
"deactivation_date": "2019-08-08",
"reactivation_date": "2021-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NV",
"license": "4846",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110006344",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "25920",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002002664",
"state": "NV"
}
],
"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 Aug 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.