Individual provider Active NPI

Leila R. Olivera, MD

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1619049426
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
17857 Issued in NV
Practice address
6360 Boulder Hwy
Las Vegas, NV 89122-7301
Phone
(725) 228-4520
Fax
(877) 889-5390
NPI assigned
Nov 15, 2006
Last updated
Mar 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 17857 NV Primary
Internal Medicine Physician 207R00000X A46610 CA

Addresses

Primary practice location

6360 Boulder Hwy
Las Vegas, NV 89122-7301

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168

Other practice location 1

1297 Boulder City Pkwy Ste A
Boulder City, NV 89005-1854
Phone (702) 294-1919

Other practice location 2

4475 S Eastern Ave
Las Vegas, NV 89119
Phone (702) 877-5199

Other identifiers 2

IdentifierTypeStateIssuer
1619049426MedicaidNV
17857OtherNVSTATE LICENSE

Other names 1

  • Leila N. Raymundo Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address leila.olivera.1@29601.direct.athenahealth.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180522001681 NV Practitioner - Internal Medicine 6204996747 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2875 S Nellis Blvd
Suite 3
Las Vegas, NV 89121-2087
Phone (702) 843-2420

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A46610CAMDInternal Medicine Physician
17857NVMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care (NV) PC Internal Medicine CurrentSince Aug 4, 2025 Accepting new patients
Intermountain Medical Holdings Nevada Inc Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients
Healthcare Partners Medical Group Coats LTD Internal Medicine Current Accepting new patients
Southwest Medical Associates, Inc Internal Medicine CurrentSince May 10, 2018 Accepting new patients
Intermountain Medical Holdings Nevada Inc CurrentSince Jan 1, 2022 Accepting new patients
Optum Medical Group Rhodes P C Current Accepting new patients
Optum Medical Group II Rhodes P C Internal Medicine CurrentSince Jun 2, 2019 Accepting new patients
Centerwell Senior Primary Care (NV) PC Internal Medicine Past Accepting new patients
Centerwell Senior Primary Care NV P C Internal Medicine Past Accepting new patients
Michael R Falvo DO LTD Internal Medicine PastSince Jul 6, 2020 Accepting new patients

Locations

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

1297 Boulder City Pkwy
Ste A
Boulder City, NV 89005
Phone (702) 294-1919

595 W Lake Mead Pkwy
Henderson, NV 89015
Phone (702) 566-5500

2316 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 877-8330

2875 S Nellis Blvd
Ste 3
Las Vegas, NV 89121
Phone (702) 843-2420

3129 N Rainbow Blvd
Las Vegas, NV 89108
Phone (725) 220-8457

4001 S Decatur Blvd
Ste 25
Las Vegas, NV 89103
Phone (725) 224-6967

420 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 339-5710

4475 S Eastern Ave
Las Vegas, NV 89119
Phone (702) 669-5811

4880 Wynn Rd
Las Vegas, NV 89103
Phone (702) 382-4554

6355 S Buffalo Dr
Fl 3
Las Vegas, NV 89113
Phone (702) 479-4881

6360 Boulder Hwy
Las Vegas, NV 89122
Phone (725) 228-4500

1397 S Loop Rd
Pahrump, NV 89048
Phone (775) 727-5500

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1619049426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6360 BOULDER HWY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891227301",
            "telephone_number": "725-228-4520",
            "fax_number": "877-889-5390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1297 Boulder City Pkwy Ste A",
            "address_purpose": "LOCATION",
            "city": "Boulder City",
            "state": "NV",
            "postal_code": "890051854",
            "country_code": "US",
            "telephone_number": "702-294-1919",
            "fax_number": "702-294-0072",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4475 S Eastern Ave",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "89119",
            "country_code": "US",
            "telephone_number": "702-877-5199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLIVERA",
        "first_name": "LEILA",
        "middle_name": "R.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "17857",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A46610",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619049426",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "17857",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "leila.olivera.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "6360 Boulder Hwy",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891227301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LEILA",
            "last_name": "RAYMUNDO",
            "middle_name": "N.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.