Active NPI
Nicolas Alonso Barnechea Alvarado, M.D.
- Student in an Organized Health Care Education/Training Program
- Las Vegas, NV
National Provider Identifier
1710736004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 1701 W. Charleston Blvd
Ste 230
Las Vegas, NV 89102 - Phone
- (702) 676-3650
- Fax
- (702) 676-3635
- NPI assigned
- May 17, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
1701 W. Charleston Blvd
Ste 230
Las Vegas, NV 89102
Mailing address
Callelord Cochrane 347
Dpto 302
Miraflores, Lima, LIMA 15073
PE
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250312000862 | NV | Order and Referring Only - Internal Medicine | 0547708398 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unlv Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1407397235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725580800000",
"number": "1710736004",
"addresses": [
{
"country_code": "PE",
"country_name": "Peru",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "CALLELORD COCHRANE 347",
"address_2": "DPTO 302",
"city": "MIRAFLORES, LIMA",
"state": "LIMA",
"postal_code": "15073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 W. CHARLESTON BLVD",
"address_2": "STE 230",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89102",
"telephone_number": "702-676-3650",
"fax_number": "702-676-3635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARNECHEA ALVARADO",
"first_name": "NICOLAS",
"middle_name": "ALONSO",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-05-17",
"last_updated": "2024-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.