Ksenia A Stafeeva, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

14891 Issued in NV

Practice address

2020 Wellness Way Ste 402
Las Vegas, NV 89106-4145

Phone

(702) 485-5000

Fax

(702) 485-5005

NPI assigned

Jul 10, 2008

Last updated

Jan 3, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Ophthalmology

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shepherd Eye Center LTDGroup PAC ID 9234125907, 42 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

83.99 of 100Reported as group

Quality

82.33

Improvement activities

40

Cost

79.02

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kstafeeva@cepnv-ne.emadirect.md

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.

• Shepherd Eye Center, LTD

  dba Nevada Eye Physicians

  • Ophthalmology Physician
  • Las Vegas, NV
  • NPI 1487604054
  Medicare reassignment Care Compare group NPD
• Helga Fuenfhausen Pizio, MD, LTD

  dba New Eyes

  • Ophthalmology Physician
  • Las Vegas, NV
  • NPI 1801055975
  Medicare reassignment NPD
• Shepherd Eye Center, LTD

  dba Nevada Eye Physicians

  • Ophthalmology Physician
  • Henderson, NV
  • NPI 1568032522
  NPD
• Shepherd Eye Center, LTD

  dba New Eyes

  • Ophthalmology Physician
  • Las Vegas, NV
  • NPI 1902478449
  NPD (past)
• Summerlin Hospital Medical Center L L C

  dba Summerlin Hospital Medical Center

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1831189638
  NPD (past)

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1689838427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 WELLNESS WAY STE 402",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064145",
            "telephone_number": "702-485-5000",
            "fax_number": "702-485-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 WELLNESS WAY STE 402",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064145",
            "telephone_number": "702-485-5000",
            "fax_number": "702-485-5005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6850 N Durango Dr Ste 106",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891494596",
            "country_code": "US",
            "telephone_number": "702-485-5000",
            "fax_number": "702-485-5005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10105 Banburry Cross Dr Ste 255",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891446648",
            "country_code": "US",
            "telephone_number": "702-485-5000",
            "fax_number": "702-485-5005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8352 W Warm Springs Rd Ste 130",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891133629",
            "country_code": "US",
            "telephone_number": "702-485-5000",
            "fax_number": "702-485-5005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7305 S Pecos Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891203701",
            "country_code": "US",
            "telephone_number": "702-485-5000",
            "fax_number": "702-485-5005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAFEEVA",
        "first_name": "KSENIA",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-10",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A121489",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NV",
            "license": "14891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689838427",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Ophthalmology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; 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.