Individual provider Active NPI

Leilani Paz Gador-Marcelino

  • Critical Care Medicine Nurse Practitioner
  • Henderson, NV
National Provider Identifier
1790335131
Registry record updated Dec 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Nurse PractitionerTaxonomy code 363LC0200X
License
819631 Issued in NV
Practice address
715 Mall Ring Cir Ste 202
Henderson, NV 89014-6667
Phone
(702) 768-1078
NPI assigned
Sep 18, 2019
Last updated
Dec 17, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Nurse Practitioner 363LC0200X 819631 NV Primary

Addresses

Primary practice location

715 Mall Ring Cir Ste 202
Henderson, NV 89014-6667

Mailing address

6588 Baroque Ave
Las Vegas, NV 89139-6738
Phone (702) 339-8872

Other names 1

  • Leilani Paz Gador Other name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200314000245 NV Practitioner - Nurse Practitioner 9335577972 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Babak Hooshmand MD PLLCGroup PAC ID 9830439330, 16 clinicians

Practice addresses (Care Compare)

4472 S Eastern Ave
Las Vegas, NV 89119-7825
Phone (725) 705-2739

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
69.64

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Infectious Disease of Nevada CurrentSince Dec 30, 2021 Accepting new patients
Babak Hooshmand MD PLLC CurrentSince May 1, 2024 Accepting new patients
Nevada Acute Medical Services-Scherr 1 PC CurrentSince Sep 29, 2020 Accepting new patients

Locations

1250 S Valley View Blvd
Las Vegas, NV 89102
Phone (702) 259-3570

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

3483 S Eastern Ave
Las Vegas, NV 89169
Phone (702) 309-2311

4472 S Eastern Ave
Las Vegas, NV 89119
Phone (702) 202-1050

801 S Rancho Dr
Ste B2
Las Vegas, NV 89106
Phone (702) 331-4808

Interoperability endpoints

  • Direct secure messaging: leilani.marcelino@485048687984644.direct.elationemr.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1568764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608163200000",
    "number": "1790335131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6588 BAROQUE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891396738",
            "telephone_number": "702-339-8872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 MALL RING CIR STE 202",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890146667",
            "telephone_number": "702-768-1078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADOR-MARCELINO",
        "first_name": "LEILANI",
        "middle_name": "PAZ",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-18",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "NV",
            "license": "819631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEILANI",
            "last_name": "GADOR",
            "middle_name": "PAZ",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.