NPIMap

Individual provider Active NPI

Nervik Roy, DO

  • Nephrology Physician
  • Las Vegas, NV
National Provider Identifier
1639669567
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
DO3366 Issued in NV
Practice address
1581 Mount Mariah Dr Ste 150
Las Vegas, NV 89106-1506
Phone
(702) 851-7766
Fax
(702) 851-7760
NPI assigned
May 16, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X SL1342 NV
General Practice Physician 208D00000X DO2871 NV
Student in an Organized Health Care Education/Training Program 390200000X TL.0008760 CO
Nephrology Physician 207RN0300X DO3366 NV Primary

Addresses

Primary practice location

1581 Mount Mariah Dr Ste 150
Las Vegas, NV 89106-1506

Mailing address

2545 S Bruce St Ste 200
Las Vegas, NV 89169-1778
Phone (702) 732-2438

Other identifiers 1

IdentifierTypeStateIssuer
1639669567MedicaidNV

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nroy50070@direct.acumenmd.com

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
I20230719003070 NV Practitioner - NephrologyPractitioner - Internal Medicine 2567865413 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Touro Un Col of Osteopathic Medicine, Henderson, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nkdhc Rudnitsky PLLCGroup PAC ID 1557582210, 44 clinicians

Practice addresses (Care Compare)

1581 Mount Mariah Dr
Suite 150
Las Vegas, NV 89106-1506
Phone (702) 851-7766

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO2871NVMDGeneral Practice Physician
SL1342NVMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Nkdhc Rudnitsky PLLC Nephrology CurrentSince Aug 1, 2023 Accepting new patients
Nkdhc Rudnitsky PLLC Nephrology Past Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Desert Springs Hospital Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

1051 Wellness Pl
Ste 140
Henderson, NV 89011
Phone (702) 289-4037

3051 W Horizon Ridge Pkwy
Ste 130
Henderson, NV 89052
Phone (702) 726-6344

2543 S Bruce St
Ste 200
Las Vegas, NV 89169
Phone (702) 732-2438

2450 Fire Mesa St
Ste 110
Las Vegas, NV 89128
Phone (702) 853-0090

5815 S Rainbow Blvd
#110
Las Vegas, NV 89118
Phone (702) 588-7077

1581 Mount Mariah Dr
Ste 150
Las Vegas, NV 89106
Phone (702) 851-7766

Organizations & group practices 7

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 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1526428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1639669567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2545 S BRUCE ST STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891691778",
            "telephone_number": "702-732-2438",
            "fax_number": "702-737-5043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1581 MOUNT MARIAH DR STE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891061506",
            "telephone_number": "702-851-7766",
            "fax_number": "702-851-7760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROY",
        "first_name": "NERVIK",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-16",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "SL1342",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NV",
            "license": "DO2871",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CO",
            "license": "TL.0008760",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NV",
            "license": "DO3366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1639669567",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nroy50070@direct.acumenmd.com",
            "affiliation": "N",
            "address_1": "1581 Mount Mariah Dr Ste 150",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891061506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.