Pio Clavecilla, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

12081 Issued in NV

Practice address

4475 S Eastern Avenue
Internal Medicine
Henderson, NV 89052-4153

Phone

(702) 737-1880

Fax

(702) 650-2458

NPI assigned

Mar 9, 2006

Last updated

Jan 17, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Internal Medicine

Education

Northeastern Ohio University College of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optum Medical Group II Rhodes P CGroup PAC ID 4981687779, 296 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1566/brand/2/csg/41/fhir/r4
• Direct secure messaging: pclavecilla119440@westdirect.optum.com

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.

• Optum Medical Group II Rhodes P C

  dba Southwest Medical

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1790329407
  Medicare reassignment Care Compare group NPD
• Southwest Medical Associates, Inc

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1659346005
  Medicare reassignment NPD
• Optum Medical Group Rhodes P C

  dba Optumcare Anesthesia

  • Anesthesiology Physician
  • Las Vegas, NV
  • NPI 1770556037
  NPD
• Centennial Hills Hospital Medical Center

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1487771812
  NPD (past)
• De Craig Ranch, LLC

  dba Dignity Health-St Rose Dominican Sahara

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1457895336
  NPD (past)
• De Craig Ranch, LLC

  dba Dignity Health-St. Rose Dominican North Las Vegas Campus

  • General Acute Care Hospital
  • North Las Vegas, NV
  • NPI 1578007514
  NPD (past)
• De Craig Ranch, LLC

  dba Dignity Health St Rose Dominican West Flamingo Campus

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1740724780
  NPD (past)
• De Craig Ranch, LLC

  dba Dignity Health-St. Rose Dominican Blue Diamond Campus

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1922542968
  NPD (past)
• Desert Springs Hospital

  dba Desert Springs Hospital Medical Center

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1154317964
  NPD (past)
• Desert View Regional Medical Center Holdings, LLC

  • Critical Access Hospital
  • Pahrump, NV
  • NPI 1073530168
  NPD (past)
• Dignity Health

  dba St. Rose Dominican Hospital, Rose de Lima Campus

  • General Acute Care Hospital
  • Henderson, NV
  • NPI 1447393152
  NPD (past)
• Dignity Health

  dba St. Rose Dominican Hospital, San Martin Campus

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1528101284
  NPD (past)

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484611200000",
    "number": "1659349140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15645",
            "address_2": "4475 S EASTERN AVENUE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891145645",
            "telephone_number": "702-737-1880",
            "fax_number": "702-650-2458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4475 S EASTERN AVENUE",
            "address_2": "INTERNAL MEDICINE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524153",
            "telephone_number": "702-737-1880",
            "fax_number": "702-650-2458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAVECILLA",
        "first_name": "PIO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2017-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "12081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100510968",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD PTAN MEDICARE",
            "identifier": "P00901960",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sherry Clark
• Vanessa Clark
• Chelsea Marie Clarke, MS, RDN
• Claudia Garcia (My Kids Doctor)
• Claudia K Vogel MD LTD
• Charles Cyrus Clawson III, DMD
• Clay Health and Care (Clay Healt and Care PC)
• Amber Marie Clay
• Arthur McInnis Clayton, P.PH.
• Emma Clayton

• Internal Medicine Physician in Henderson, NV
• Providers in Henderson, NV by specialty
• Internal Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; 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.

Verify at the official NPI Registry.