Individual provider Active NPI

Alvancin Louis, MD

  • Vascular Surgery Physician
  • Las Vegas, NV
National Provider Identifier
1770945768
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
MW136647 Issued in FL
Practice address
5225 S Durango Dr
Las Vegas, NV 89113-0137
Phone
(702) 240-6482
NPI assigned
Mar 28, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 036171472 IL
Vascular Surgery Physician 2086S0129X MW136647 FL Primary

Addresses

Primary practice location

5225 S Durango Dr
Las Vegas, NV 89113-0137

Mailing address

801 S Rancho Dr Ste E6
Las Vegas, NV 89106-3812
Phone (702) 240-6482

Other practice location 1

800 W. Central Rd.
Suite 7100
Arlington Heightts, IL 60005-2379
Phone (847) 618-3800

Other practice location 2

4700 Las Vegas Blvd N
Nellis AFB, NV 89191-6600
Phone (702) 653-2273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, IL2 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
I20240321000156 NV Practitioner - Vascular Surgery 6002102530 Reassigns benefits to 1 organization
I20241021004340 IL Practitioner - Vascular Surgery 6002102530 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nevada Heart and Vascular Center Resh LLPGroup PAC ID 5395746283, 41 clinicians

Practice addresses (Care Compare)

5225 S Durango Dr
Las Vegas, NV 89113-0137
Phone (702) 240-6482

Hospital & facility affiliations

  • University Medical Center Hospital, Las Vegas, NV, CCN 290007

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MW136647FLMDVascular Surgery Physician
036171472ILMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nevada Heart and Vascular Center Resh LLP CurrentSince Jan 6, 2024 Accepting new patients
Endeavor Health Medical Group Current Accepting new patients
Endeavor Health Medical Group CurrentSince Oct 10, 2024 Accepting new patients
Nevada Heart and Vascular Center Resh LLP CurrentSince Jan 6, 2024 Accepting new patients

Locations

9532 Eagle Way
Chicago, IL 60678

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

8530 W Sunset Rd
Ste 110
Las Vegas, NV 89113
Phone (702) 489-9000

500 E Windmill Ln
Ste 140
Las Vegas, NV 89123

5225 S Durango Dr
Las Vegas, NV 89113
Phone (702) 253-9355

801 S Rancho Dr
Ste E6
Las Vegas, NV 89106
Phone 7022406482 ext. 7284

5795 Arville St
Ste 200
Las Vegas, NV 89118

1440 E Calvada Blvd
Ste 700
Pahrump, NV 89048
Phone (702) 933-6400

Interoperability endpoints

  • Direct secure messaging: alouis828493@direct.sw.org
  • Direct secure messaging: alvancin.louis.1@29724.direct.athenahealth.com
  • Direct secure messaging: alouis182386@direct.nch.org

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.

Hospital & facility affiliations 12

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

NPI Registry JSON

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

{
    "created_epoch": "1459123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1770945768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 S RANCHO DR STE E6",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891063812",
            "telephone_number": "702-240-6482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 S DURANGO DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891130137",
            "telephone_number": "702-240-6482"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 W. Central Rd.",
            "address_2": "Suite 7100",
            "address_purpose": "LOCATION",
            "city": "Arlington Heightts",
            "state": "IL",
            "postal_code": "600052379",
            "country_code": "US",
            "telephone_number": "847-618-3800",
            "fax_number": "847-392-7834",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4700 Las Vegas Blvd N",
            "address_purpose": "LOCATION",
            "city": "Nellis AFB",
            "state": "NV",
            "postal_code": "891916600",
            "country_code": "US",
            "telephone_number": "702-653-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOUIS",
        "first_name": "ALVANCIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-28",
        "last_updated": "2024-11-01",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "IL",
            "license": "036171472",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "MW136647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.