Individual provider Active NPI

Jeffrey Philip Marcovitch, MD

  • Family Medicine Physician
  • North Las Vegas, NV
National Provider Identifier
1801898465
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10969 Issued in NV
Practice address
6900 N Pecos Rd
North Las Vegas, NV 89086-4400
Phone
(702) 791-9000
NPI assigned
Aug 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 10969 NV Primary

Addresses

Primary practice location

6900 N Pecos Rd
North Las Vegas, NV 89086-4400

Mailing address

6900 N Pecos Rd
North Las Vegas, NV 89086-4400
Phone (702) 791-9000

Other practice location 1

3968 N Rancho Dr
Las Vegas, NV 89130-3412
Phone (702) 791-9020

Other identifiers 1

IdentifierTypeStateIssuer
V60686OtherNVMEDICARE

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
I20040810001493 NV Practitioner - Family Practice 0446222384 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nevada Acute Medical Services-Scherr 1 PC CurrentSince Apr 1, 2017 Accepting new patients
Southwest Medical Associates, Inc CurrentSince Oct 1, 2019 Accepting new patients
Optum Medical Group II Rhodes P C CurrentSince Sep 1, 2019 Accepting new patients
Optum Medical Group Rhodes P C CurrentSince Sep 1, 2019 Accepting new patients
Wellstar Medical Group, LLC Family Medicine Past Accepting new patients

Locations

101 E Lake Mead Pkwy
Ste 110
Henderson, NV 89015
Phone (702) 565-3484

3001 Saint Rose Pkwy
Henderson, NV 89052
Phone (702) 615-5000

7061 Grand Montecito Pkwy
Las Vegas, NV 89149
Phone (702) 750-3800

5110 W Sahara Ave
Las Vegas, NV 89146
Phone (702) 352-9260

7391 W Charleston Blvd
Ste 140
Las Vegas, NV 89117
Phone (702) 233-0684

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

420 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 339-5710

150 E Harmon Ave
Las Vegas, NV 89109
Phone (702) 546-0911

2316 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 877-8330

4015 McLeod Dr
Las Vegas, NV 89121
Phone (702) 433-2200

Organizations & group practices 5

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": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1801898465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 N PECOS RD",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890864400",
            "telephone_number": "702-791-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 N PECOS RD",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890864400",
            "telephone_number": "702-791-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3968 N Rancho Dr",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891303412",
            "country_code": "US",
            "telephone_number": "702-791-9020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARCOVITCH",
        "first_name": "JEFFREY",
        "middle_name": "PHILIP",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "10969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "V60686",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.