Organization Active NPI

Jerry Schwartz, MD Internal Medicine

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1548479264
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
6541 Issued in NV
Legal business name
JERRY SCHWARTZ, MD INTERNAL MEDICINE
Practice address
7395 S Pecos Rd Ste 102
Las Vegas, NV 89120-3768
Phone
(702) 737-8657
Fax
(702) 737-5446
NPI assigned
May 21, 2007
Last updated
Sep 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Authorized official

Name
Mrs. Simone Schwartz
Title
Administrator
Phone
(702) 737-8657

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 6541 NV Primary

Addresses

Primary practice location

7395 S Pecos Rd Ste 102
Las Vegas, NV 89120-3768

Mailing address

7395 S Pecos Rd Ste 102
Las Vegas, NV 89120-3768
Phone (702) 737-8657

Other practice location 1

3530 E Flamingo Rd Ste 100
Las Vegas, NV 89121-5091
Phone (702) 737-8657

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120315000406 NV Part B Supplier - Clinic/Group Practice 1951399278 Receives reassigned benefits from 2 practitioners
Practice locations: Las Vegas, NV

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
29D0872524Jerry Schwartz MD7395 S Pecos Rd Ste 102, Las Vegas, NV 89120Certificate of waiverJun 29, 2027

National Provider Directory

National Provider Directory

Locations

7395 S Pecos Rd
Ste 102
Las Vegas, NV 89120
Phone (702) 737-8657

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695772800000",
    "number": "1548479264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7395 S PECOS RD STE 102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203768",
            "telephone_number": "702-737-8657",
            "fax_number": "702-737-5446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7395 S PECOS RD STE 102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203768",
            "telephone_number": "702-737-8657",
            "fax_number": "702-737-5446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3530 E Flamingo Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891215091",
            "country_code": "US",
            "telephone_number": "702-737-8657",
            "fax_number": "702-737-5446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JERRY SCHWARTZ, MD INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "SIMONE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-737-8657",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "6541",
            "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 Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.