Active NPI
Matthew Barrera, MD
- Hospitalist Physician
- Henderson, NV
National Provider Identifier
1639864168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 30189
- Practice address
- 3001 Saint Rose Pkwy
Henderson, NV 89052-3839 - Phone
- (702) 492-8592
- Fax
- (702) 492-8045
- NPI assigned
- Apr 10, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 30189 | NV | |
| Hospitalist Physician | 208M00000X | 30189 | NV | Primary |
Addresses
Primary practice location
3001 Saint Rose Pkwy
Henderson, NV 89052-3839
Mailing address
PO Box 33269
Phoenix, AZ 85067-3269
Phone (602) 406-4786
Other practice location 1
102 E Lake Mead Pkwy
Henderson, NV 89015-5575
Phone (702) 492-8592
Other practice location 2
8280 W Warm Springs Rd
Las Vegas, NV 89113-3612
Phone (702) 492-8592
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230628003837 | NV | Order and Referring Only - Internal Medicine | 8325407042 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789603200000",
"number": "1639864168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 33269",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850673269",
"telephone_number": "602-406-4786",
"fax_number": "916-636-4358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 SAINT ROSE PKWY",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890523839",
"telephone_number": "702-492-8592",
"fax_number": "702-492-8045"
}
],
"practiceLocations": [
{
"address_1": "102 E Lake Mead Pkwy",
"address_purpose": "LOCATION",
"city": "Henderson",
"state": "NV",
"postal_code": "890155575",
"country_code": "US",
"telephone_number": "702-492-8592",
"fax_number": "702-492-8045",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8280 W Warm Springs Rd",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891133612",
"country_code": "US",
"telephone_number": "702-492-8592",
"fax_number": "702-492-8045",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BARRERA",
"first_name": "MATTHEW",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-10",
"last_updated": "2026-09-17",
"certification_date": "2026-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NV",
"license": "30189",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NV",
"license": "30189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.