Individual provider Active NPI

Kaio S Ferreira, MD

  • Gastroenterology Physician
  • Las Vegas, NV
National Provider Identifier
1689103293
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
27245 Issued in NV
Practice address
5701 W Charleston Blvd Ste 201
Las Vegas, NV 89146-0903
Phone
(702) 750-0313
Fax
(702) 487-3197
NPI assigned
Jun 7, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X LP04034 RI
Gastroenterology Physician 207RG0100X D0097514 MD
Gastroenterology Physician 207RG0100X 27245 NV Primary

Addresses

Primary practice location

5701 W Charleston Blvd Ste 201
Las Vegas, NV 89146-0903

Mailing address

1930 Village Center Cir Ste 3-448
Las Vegas, NV 89134-6299

Other practice location 1

70 Thomas Johnson Dr Ste 120
Frederick, MD 21702-4317
Phone (301) 624-5566

Other practice location 2

6850 N Durango Dr Ste 302
Las Vegas, NV 89149-4597
Phone (702) 750-0313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230630000264 MD Practitioner - Gastroenterology 3577832054 Reassigns benefits to 1 organization
I20250709003371 NV Practitioner - Gastroenterology 3577832054 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vishal Gandotra MD IncGroup PAC ID 6800955410, 9 clinicians

Practice addresses (Care Compare)

5701 W Charleston Blvd
Suite 201
Las Vegas, NV 89146-0903
Phone (702) 750-0313

Hospital & facility affiliations

  • Summerlin Hospital Medical Center Hospital, Las Vegas, NV, CCN 290041

Merit-based Incentive Payment System (MIPS)

Final score
79.3 of 100Reported as group
Quality
77.4
Promoting interoperability
97
Improvement activities
40
Cost
56.09

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy66
Upper gastrointestinal (GI) endoscopy for acid reflux58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0097514MDMDGastroenterology Physician
27245NVMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
David W. Kossoff, M.D., LLC CurrentSince Aug 1, 2023 Accepting new patients
Vishal Gandotra MD PC Gastroenterology CurrentSince Jun 1, 2025 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

70 Thomas Johnson Dr
Frederick, MD 21702
Phone (301) 624-5566

70 Thomas Johnson Dr
Ste 120
Frederick, MD 21702
Phone (240) 575-9713

5701 W Charleston Blvd
Ste 201
Las Vegas, NV 89146
Phone (702) 750-0313

657 N Town Center Dr
Las Vegas, NV 89144
Phone (702) 233-7571

1930 Village Center Cir
#3448
Las Vegas, NV 89134

6850 N Durango Dr
Ste 302
Las Vegas, NV 89149
Phone (702) 750-0313

1930 Village Center Cir
Ste 3448
Las Vegas, NV 89134

1905 Civic Center Dr
Ste 101
North Las Vegas, NV 89030
Phone (702) 649-3739

Organizations & group practices 3

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1689103293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 VILLAGE CENTER CIR STE 3-448",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891346299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 W CHARLESTON BLVD STE 201",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891460903",
            "telephone_number": "702-750-0313",
            "fax_number": "702-487-3197"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "70 Thomas Johnson Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217024317",
            "country_code": "US",
            "telephone_number": "301-624-5566",
            "fax_number": "301-624-5542",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6850 N Durango Dr Ste 302",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891494597",
            "country_code": "US",
            "telephone_number": "702-750-0313",
            "fax_number": "702-487-3197",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERREIRA",
        "first_name": "KAIO",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-07",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "LP04034",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MD",
            "license": "D0097514",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NV",
            "license": "27245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.