NPIMap

Individual provider Active NPI

Eladio Carrera, M.D.

  • Gastroenterology Physician
  • Las Vegas, NV
National Provider Identifier
1508967605
Registry record updated Apr 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
5165 Issued in NV
Practice address
3150 N Tenaya Way
Suite 525
Las Vegas, NV 89128-0443
Phone
(702) 220-9865
Fax
(702) 251-8196
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 5165 NV Primary

Addresses

Primary practice location

3150 N Tenaya Way
Suite 525
Las Vegas, NV 89128-0443

Mailing address

PO Box 34795
Las Vegas, NV 89133-4795
Phone (702) 220-9865

Other identifiers 1

IdentifierTypeStateIssuer
1508967605MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091202000364 NV Practitioner - GastroenterologyPractitioner - Internal Medicine 7719879683 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
University of Texas Southwestern Medical School at Dallas, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Digestive Associates LLPGroup PAC ID 7810067741, 17 clinicians

Practice addresses (Care Compare)

2031 McDaniel St
Suite 140
N Las Vegas, NV 89030-6308
Phone (702) 633-0207

Hospital & facility affiliations

  • Summerlin Hospital Medical Center Hospital, Las Vegas, NV, CCN 290041

Merit-based Incentive Payment System (MIPS)

Final score
97.79 of 100Reported as group
Quality
79.17
Promoting interoperability
97
Improvement activities
40
Cost
84.34

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Digestive Associates LLP Gastroenterology CurrentSince Mar 1, 2022 Accepting new patients
Dignity Health Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients
North Vista Hospital LLC Past Accepting new patients
Las Vegas Kidney Specialists Janga LLP Past Accepting new patients
Desert Springs Hospital Past Accepting new patients
Summerlin Hospital Medical Center L L C Past Accepting new patients
Spring Valley Medical Center Past Accepting new patients
Spring Valley Medical Center Past Accepting new patients
Mountain View Hospital LLC Past Accepting new patients

Locations

866 Seven Hills Dr
Ste 104
Henderson, NV 89052
Phone (702) 567-5449

653 N Town Center Dr
Ste 514
Las Vegas, NV 89144
Phone (702) 243-2689

5440 W Sahara Ave
Ste 302
Las Vegas, NV 89146
Phone (702) 633-0254

840 S Rancho Dr
Ste 4342
Las Vegas, NV 89106

653 N Town Center Dr
Ste 204
Las Vegas, NV 89144
Phone (702) 209-3903

5400 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 252-7342

2031 McDaniel St
Ste 210
North Las Vegas, NV 89030
Phone (702) 642-4091

2031 McDaniel St
Ste 140
North Las Vegas, NV 89030
Phone (702) 642-9029

Organizations & group practices 11

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429056000000",
    "number": "1508967605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34795",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891334795",
            "telephone_number": "702-220-9865",
            "fax_number": "702-251-8196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 N TENAYA WAY",
            "address_2": "SUITE 525",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280443",
            "telephone_number": "702-220-9865",
            "fax_number": "702-251-8196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRERA",
        "first_name": "ELADIO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2015-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NV",
            "license": "5165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508967605",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.