Individual provider Active NPI

Scott Avery Slavis, MD

  • Urology Physician
  • Las Vegas, NV
National Provider Identifier
1700879053
Registry record updated Mar 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
5898 Issued in NV
Practice address
2010 Wellness Way Ste 200
Las Vegas, NV 89106-4142
Phone
(702) 877-0814
Fax
(702) 877-3238
NPI assigned
Aug 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 5898 NV Primary
Transplant Surgery Physician 204F00000X 5898 NV

Addresses

Primary practice location

2010 Wellness Way Ste 200
Las Vegas, NV 89106-4142

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380

Other identifiers 1

IdentifierTypeStateIssuer
2002377MedicaidNV

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
I20100215000057 NV Practitioner - Urology 8729128624 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Group Rhodes P C CurrentSince Apr 2, 2018 Accepting new patients
Optum Medical Group Rhodes P C CurrentSince Apr 2, 2018 Accepting new patients
Scott a. Slavis, M.D., P.C. Transplant Surgery Past Accepting new patients
Dhanvantari Trehan Salts of the Earth PC Past Accepting new patients

Locations

58 N Pecos Rd
Henderson, NV 89074
Phone (702) 822-2000

2010 Wellness Way
Ste 200
Las Vegas, NV 89106
Phone (702) 382-2900

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522195200000",
    "number": "1700879053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 WELLNESS WAY STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064142",
            "telephone_number": "702-877-0814",
            "fax_number": "702-877-3238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLAVIS",
        "first_name": "SCOTT",
        "middle_name": "AVERY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2018-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NV",
            "license": "5898",
            "primary": true
        },
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "NV",
            "license": "5898",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2002377",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.