NPIMap

Individual provider Active NPI

Nicholas Craig Kalekas, DO

  • Anesthesiology Physician
  • Las Vegas, NV
National Provider Identifier
1821656299
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
DO3672 Issued in NV
Practice address
7160 Rafael Rivera Way Ste 210
Las Vegas, NV 89113-5395
Phone
(702) 878-0070
Fax
(702) 805-0307
NPI assigned
May 31, 2019
Last updated
Aug 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 1821656299 CA
Critical Care Medicine (Anesthesiology) Physician 207LC0200X 20A19743 CA
Anesthesiology Physician 207L00000X DO3672 NV Primary

Addresses

Primary practice location

7160 Rafael Rivera Way Ste 210
Las Vegas, NV 89113-5395

Mailing address

PO Box 840857
Dallas, TX 75284-0857
Phone (725) 204-4632

Other identifiers 1

IdentifierTypeStateIssuer
1821656299MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240731001428 NV Practitioner - Anesthesiology 0042676603 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Touro Un College of Osteopathic Medicine, Vallejo, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fielden,Hanson,Isaacs,Miyada,Robison,Yeh LTDGroup PAC ID 5799683462, 168 clinicians

Practice addresses (Care Compare)

3186 S Maryland Pkwy
Las Vegas, NV 89109-2317
Phone (702) 961-8434

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.25 of 100Reported as group
Quality
74.41
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
19743CAMDAddiction (Substance Use Disorder) Counselor
1821656299CAMDAnesthesiology Physician
DO3672NVMDAnesthesiology Physician
20A19743CAMDCritical Care Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fielden Hanson Isaacs Miyada Robison Yeh LTD Anesthesiology CurrentSince Jul 17, 2024 Accepting new patients
Arizona Anesthesia Consultants, Inc. Anesthesiology PastSince Feb 2, 2020 Accepting new patients

Locations

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

7160 Rafael Rivera Way
Ste 210
Las Vegas, NV 89113

9127 W Russell Rd
Ste 110
Las Vegas, NV 89148
Phone (702) 209-2042

12222 Merit Dr
Ste 600
Dallas, TX 75251
Phone (972) 776-3185

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1559260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1821656299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840857",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840857",
            "telephone_number": "725-204-4632",
            "fax_number": "702-805-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7160 RAFAEL RIVERA WAY STE 210",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891135395",
            "telephone_number": "702-878-0070",
            "fax_number": "702-805-0307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALEKAS",
        "first_name": "NICHOLAS",
        "middle_name": "CRAIG",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-31",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "1821656299",
            "primary": false
        },
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "CA",
            "license": "20A19743",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NV",
            "license": "DO3672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821656299",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.