Individual provider Active NPI

Jeremy Marc Lipshutz, MD

  • Interventional Pain Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1679675060
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
13042 Issued in NV
Practice address
6120 S Fort Apache Rd
Las Vegas, NV 89148-6759
Phone
(702) 948-8660
Fax
(702) 483-6663
NPI assigned
Sep 5, 2006
Last updated
Jan 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 13042 NV
Addiction Medicine (Anesthesiology) Physician 207LA0401X 13042 NV
Pain Medicine (Anesthesiology) Physician 207LP2900X 13042 NV
Pain Medicine Physician 208VP0000X 13042 NV
Interventional Pain Medicine Physician 208VP0014X 13042 NV Primary
Addiction Medicine (Preventive Medicine) Physician 2083A0300X 13042 NV

Addresses

Primary practice location

6120 S Fort Apache Rd
Las Vegas, NV 89148-6759

Mailing address

6120 S Fort Apache Rd Ste 100
Las Vegas, NV 89148-6760
Phone (702) 948-8660

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
I20090901000223 NV Practitioner - Pain ManagementPractitioner - AnesthesiologyPractitioner - Interventional Pain Management 8729176938 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Wayne State University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6120 S Fort Apache Rd
Suite 100
Las Vegas, NV 89148-6760
Phone (702) 948-8660

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
13042NVMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lipshutz & Wills Medical Group LLP Anesthesiology CurrentSince Mar 15, 2011 Accepting new patients
Expert Injury Recovery Specialists PLLC Pain Medicine Current Accepting new patients
Lansing Anesthesia Associates Anesthesiology Past Accepting new patients
Michigan Pain Management Specialists PC Past Accepting new patients
Comprehensive Urgent Care Past Accepting new patients
215 Surgery Center, LLC PastSince Aug 1, 2014 Accepting new patients
Canyon Gate Medical Group, LLC Past Accepting new patients

Locations

6120 S Fort Apache Rd
Ste 100
Las Vegas, NV 89148
Phone (702) 213-9093

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, 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": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1679675060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6120 S FORT APACHE RD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891486760",
            "telephone_number": "702-948-8660",
            "fax_number": "702-483-6663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6120 S FORT APACHE RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891486759",
            "telephone_number": "702-948-8660",
            "fax_number": "702-483-6663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPSHUTZ",
        "first_name": "JEREMY",
        "middle_name": "MARC",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NV",
            "license": "13042",
            "primary": false
        },
        {
            "code": "207LA0401X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": "NV",
            "license": "13042",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NV",
            "license": "13042",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NV",
            "license": "13042",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NV",
            "license": "13042",
            "primary": true
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "NV",
            "license": "13042",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.