Individual provider Active NPI

Mario Albert Torres, MD

  • Nephrology Physician
  • Las Vegas, NV
National Provider Identifier
1700869302
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
23008 Issued in NV
Practice address
1294 S Jones Blvd
Las Vegas, NV 89146
Phone
(702) 877-1887
Fax
(702) 877-4536
NPI assigned
Nov 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 25MA04730100 NJ
Nephrology Physician 207RN0300X MD041372E PA
Nephrology Physician 207RN0300X 51360 AZ
Nephrology Physician 207RN0300X 23008 NV Primary

Addresses

Primary practice location

1294 S Jones Blvd
Las Vegas, NV 89146

Mailing address

1294 S Jones Blvd
Las Vegas, NV 89146
Phone (702) 877-1887

Other identifiers 2

IdentifierTypeStateIssuer
103809MedicaidAZ
7530005MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, 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
I20160128000102 AZ Practitioner - Nephrology 7315934122 Reassigns benefits to 2 organizations
I20231122002612 NV Practitioner - Nephrology 7315934122 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southwest Kidney Institute PLCGroup PAC ID 8224930987, 100 clinicians
Nephrology and Endocrine Associates IncGroup PAC ID 2961499322, 64 clinicians

Practice addresses (Care Compare)

617 N Humphreys St
Suite 102
Flagstaff, AZ 86001-3063
Phone (480) 610-6100

8775 Deer Springs Way
Las Vegas, NV 89149-0416
Phone (702) 877-1887

Hospital & facility affiliations

  • Valley Hospital Medical Center Hospital, Las Vegas, NV, CCN 290021
  • University Medical Center Hospital, Las Vegas, NV, CCN 290007
  • Havasu Regional Medical Center Hospital, Lake Havasu City, AZ, CCN 030069
  • Kingman Regional Medical Center Hospital, Kingman, AZ, CCN 030055
  • Valley View Medical Center Hospital, Fort Mohave, AZ, CCN 030117

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23008NVMDNephrology Physician
MD041372EPAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology & Endocrine Associates Inc CurrentSince Nov 15, 2023 Accepting new patients
Southwest Kidney Institute, PLC Nephrology CurrentSince Feb 1, 2016 Accepting new patients
Nephrology & Endocrine Associates Inc Nephrology CurrentSince Nov 15, 2023 Accepting new patients
Southwest Kidney Institute Scottsdale LLC Nephrology CurrentSince Feb 1, 2016 Accepting new patients
SJV Management, LLC PastSince Jul 24, 2022 Accepting new patients

Locations

617 N Humphreys St
Ste 102
Flagstaff, AZ 86001

5330 S Highway 95
Ste M
Fort Mohave, AZ 86426

1739 E Beverly Ave
Ste 221
Kingman, AZ 86409
Phone (928) 771-5595

2005 Injo Dr
Ste 103
Lake Havasu City, AZ 86403
Phone (520) 854-1111

2090 Smoketree Ave N
Lk Havasu Cty, AZ 86403
Phone (928) 854-1800

2610 N 3rd St
Phoenix, AZ 85004
Phone (602) 264-3541

337 E Coronado Rd
Ste 201
Phoenix, AZ 85004
Phone (602) 252-8081

9305 W Thomas Rd
Ste 255
Phoenix, AZ 85037
Phone (623) 247-9235

1000 Willow Creek Rd
Prescott, AZ 86301
Phone (520) 445-2424

1000 Willow Creek Rd
Ste F
Prescott, AZ 86301
Phone (928) 227-0912

75 Colonia de Salud
Ste 200B
Sierra Vista, AZ 85635
Phone (520) 320-7999

2149 E Warner Rd
Ste 102
Tempe, AZ 85284
Phone (623) 247-0808

2149 E Warner Rd
Ste 101
Tempe, AZ 85284
Phone (480) 610-6111

1845 W Orange Grove Rd
Ste 111
Tucson, AZ 85704
Phone (520) 329-8298

519 Rose Ln
Wickenburg, AZ 85390
Phone (844) 888-0408

905 N Bowie Ave
Willcox, AZ 85643
Phone (520) 326-4811

100 N Green Valley Pkwy
Ste 310
Henderson, NV 89074
Phone (702) 565-6565

1294 S Jones Blvd
Las Vegas, NV 89146
Phone (702) 877-1877

500 S Rancho Dr
Ste 12
Las Vegas, NV 89106
Phone (702) 877-1877

9280 W Sunset Rd
Ste 438
Las Vegas, NV 89148

8775 Deer Springs Way
Las Vegas, NV 89149
Phone (702) 395-2488

653 N Town Center Dr
Ste 70
Las Vegas, NV 89144
Phone (702) 360-6908

2065 N Las Vegas Blvd
North Las Vegas, NV 89030
Phone (702) 639-0469

Interoperability endpoints

  • Direct secure messaging: kce7516@yourcarecommunity.org
  • Direct secure messaging: mtorres37443@direct.davitaphysiciansolutions.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: mario.torres.1@2697.direct.athenahealth.com

Organizations & group practices 5

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 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1700869302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1294 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89146",
            "telephone_number": "702-877-1887",
            "fax_number": "702-877-4536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1294 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89146",
            "telephone_number": "702-877-1887",
            "fax_number": "702-877-4536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES",
        "first_name": "MARIO",
        "middle_name": "ALBERT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-28",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "25MA04730100",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "MD041372E",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AZ",
            "license": "51360",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NV",
            "license": "23008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103809",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7530005",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.