Individual provider Active NPI

Judith Sabrina Ben Ari Lazcano, M.D.

  • Pediatric Critical Care Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1780029413
Registry record updated Sep 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Critical Care Medicine PhysicianTaxonomy code 2080P0203X
License
16676 Issued in NV
Practice address
1800 W. Charleston Blvd
Pediatric Critical Care Administration
Las Vegas, NV 89102
Phone
(702) 383-2420
Fax
(702) 383-8402
NPI assigned
May 8, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Critical Care Medicine Physician 2080P0203X 16676 NV Primary

Addresses

Primary practice location

1800 W. Charleston Blvd
Pediatric Critical Care Administration
Las Vegas, NV 89102

Mailing address

PO Box 371540
Las Vegas, NV 89137-1540
Phone (702) 383-2420

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
I20161111001292 NV Practitioner - Critical Care (Intensivists)Practitioner - Pediatric Medicine 8022397181 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Pediatric Medicine
Education
Other, 2007
Medicare assignment
May accept Medicare assignment
Group practices
Pokroy Medical Group of Nevada LTDGroup PAC ID 7911037643, 19 clinicians

Practice addresses (Care Compare)

3186 S Maryland Pkwy
Las Vegas, NV 89109-2317
Phone (702) 731-8000

Hospital & facility affiliations

  • Summerlin Hospital Medical Center Hospital, Las Vegas, NV, CCN 290041

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16676NVMDPediatric Critical Care Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pokroy Medical Group of Nevada, LTD. Pediatric Critical Care Medicine CurrentSince Nov 1, 2021 Accepting new patients
Summerlin Hospital Medical Center L L C Past Accepting new patients

Locations

3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000

657 N Town Center Dr
Las Vegas, NV 89144
Phone (702) 233-7571

1800 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 207-8253

Interoperability endpoints

  • Direct secure messaging: jbenarilazcano18580@direct.umcsn.com

Organizations & group practices 3

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 2

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": "1367971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473379200000",
    "number": "1780029413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 371540",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891371540",
            "telephone_number": "702-383-2420",
            "fax_number": "702-383-8402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 W. CHARLESTON BLVD",
            "address_2": "PEDIATRIC CRITICAL CARE ADMINISTRATION",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89102",
            "telephone_number": "702-383-2420",
            "fax_number": "702-383-8402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEN ARI LAZCANO",
        "first_name": "JUDITH",
        "middle_name": "SABRINA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-08",
        "last_updated": "2016-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "NV",
            "license": "16676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.