Active NPI
Stefan Craig Root, DO
- Family Medicine Physician
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DO4000
- Practice address
- 6070 S Fort Apache Rd Ste 100
Las Vegas, NV 89148-5615 - Phone
- (702) 803-5534
- NPI assigned
- Mar 20, 2023
- Last updated
- Aug 17, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DO4000 | NV | Primary |
Addresses
Primary practice location
6070 S Fort Apache Rd Ste 100
Las Vegas, NV 89148-5615
Mailing address
6070 S Fort Apache Rd Ste 100
Las Vegas, NV 89148-5615
Phone (702) 803-5534
Other practice location 1
2851 N Tenaya Way Ste 101
Las Vegas, NV 89128-0453
Phone (702) 803-5534
Other practice location 2
821 N Nellis Blvd
Las Vegas, NV 89110-5339
Phone (702) 803-5534
Other practice location 3
8425 S Eastern Ave Ste A
Las Vegas, NV 89123-2891
Phone (702) 803-5534
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
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2216 Hunt Club St
Las Vegas, NV 89128-6717
6070 S Fort Apache Rd
Suite 100
Las Vegas, NV 89148-5615
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO4000 | NV | MD | General Practice Physician |
Interoperability endpoints
- sroot695130@direct.ochin.org
- stefan.root.p1@direct.nevadahealthcenters.nextgenshare.com
Organizations & group practices 1
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": "1679270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786924800000",
"number": "1639871312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6070 S FORT APACHE RD STE 100",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891485615",
"telephone_number": "702-803-5534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6070 S FORT APACHE RD STE 100",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891485615",
"telephone_number": "702-803-5534"
}
],
"practiceLocations": [
{
"address_1": "2851 N Tenaya Way Ste 101",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891280453",
"country_code": "US",
"telephone_number": "702-803-5534",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "821 N Nellis Blvd",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891105339",
"country_code": "US",
"telephone_number": "702-803-5534",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8425 S Eastern Ave Ste A",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891232891",
"country_code": "US",
"telephone_number": "702-803-5534",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROOT",
"first_name": "STEFAN",
"middle_name": "CRAIG",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-03-20",
"last_updated": "2026-08-17",
"certification_date": "2026-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NV",
"license": "DO4000",
"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 Aug 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.
- 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.