Individual provider Active NPI

Abraham Rothman, MD

  • Pediatric Cardiology Physician
  • Las Vegas, NV
National Provider Identifier
1730162074
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
10467 Issued in NV
Practice address
3131 La Canada St Ste 230
Las Vegas, NV 89169-2551
Phone
(702) 732-1290
Fax
(702) 260-1926
NPI assigned
Nov 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X 10467 NV Primary

Addresses

Primary practice location

3131 La Canada St Ste 230
Las Vegas, NV 89169-2551

Mailing address

3131 La Canada St Ste 230
Las Vegas, NV 89169-2551
Phone (702) 732-1290

Other identifiers 4

IdentifierTypeStateIssuer
CC5958OtherBLUE CROSS BLUE SHIELD
XPY199953OtherMEDI-CAL
100500439MedicaidNV
VWCLCQOtherNVMEDICARE GROUP

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
I20040513001278 NV Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Pediatric Medicine 1052301827 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Pediatric Medicine
Education
University of California, San Diego School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
William Neal Evans MD LTDGroup PAC ID 7012804263, 17 clinicians

Practice addresses (Care Compare)

3131 La Canada St
Suite 230
Las Vegas, NV 89169-2551
Phone (702) 732-1290

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
William Neal Evans MD LTD Pediatric Cardiology CurrentSince Sep 1, 2003 Accepting new patients
William Neal Evans, MD, LTD Pediatric Cardiology CurrentSince Sep 1, 2003 Accepting new patients

Locations

653 N Town Center Dr
Ste 310
Las Vegas, NV 89144
Phone (702) 228-1003

3131 La Canada St
Ste 230
Las Vegas, NV 89169
Phone (702) 732-1290

3006 S Maryland Pkwy
Ste 690
Las Vegas, NV 89109
Phone (702) 732-1290

1500 E 2nd St
Ste 407
Reno, NV 89502
Phone (775) 324-6644

Interoperability endpoints

  • Direct secure messaging: arothman18714@direct.umcsn.com
  • Direct secure messaging: abraham.rothman.1@16774.direct.athenahealth.com

Organizations & group practices 2

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": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1730162074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 LA CANADA ST STE 230",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891692551",
            "telephone_number": "702-732-1290",
            "fax_number": "702-260-1926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 LA CANADA ST STE 230",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891692551",
            "telephone_number": "702-732-1290",
            "fax_number": "702-260-1926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHMAN",
        "first_name": "ABRAHAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-21",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "NV",
            "license": "10467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "CC5958",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "XPY199953",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100500439",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "VWCLCQ",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.