Evelyn Delrosario, MD
Individual provider Active NPI Pediatrics Physician · Las Vegas, NV
NPI 1609988922 · NPPES record last updated Mar 10, 2019
Key facts
- NPI
- 1609988922
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 15516 (NV)
- Practice address
- 8352 W Warm Springs Rd Ste 210
Las Vegas, NV 89113-3630 - Phone
- (702) 944-4028
- Fax
- (702) 944-4019
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15516 | NV | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nevada Children'S Clinic | Past | Accepting new patients | |
| St Jude Hospital Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 4301054643 | MI | |
| Pediatrics Physician | 208000000X | 15516 | NV | Yes |
Addresses
Primary practice location
8352 W Warm Springs Rd Ste 210
Las Vegas, NV 89113-3630
Mailing address
8352 W Warm Springs Rd Ste 210
Las Vegas, NV 89113-3630
Phone (702) 944-4028
Other practice location 1
6850 N Durango Dr Ste 120
Las Vegas, NV 89149-4596
Phone (702) 944-4028
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15516 | Medicaid | NV | |
| 4507025 | Medicaid | MI |
Other providers in Las Vegas, NV
- Danielle Marie Delpopolo
- Charne Delport
- Christopher Delpozo
- Ymelda Delrio
- Alex Velasco Delrosario
- Violeta Carolino Delrosario
- Elham Delsouzi
- Reza Delsouzi
- Delta Home Health Care LLC
- Deltaplus Home Healthcare LLC
All providers in Las Vegas, NV · Pediatrics 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 Mar 10, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.