Active NPI
Albert Khavkin, D.O
- Pain Medicine (Anesthesiology) Physician
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 1185
- Practice address
- 204 Luxaire CT
Las Vegas, NV 89144-4318 - Phone
- (702) 531-4004
- NPI assigned
- Jun 10, 2006
- Last updated
- Aug 19, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 036109247 | IL | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 1185 | NV | Primary |
Addresses
Primary practice location
204 Luxaire CT
Las Vegas, NV 89144-4318
Mailing address
204 Luxaire CT
Las Vegas, NV 89144-4318
Phone (702) 531-4004
Other names 1
- Dr. Albert Khavkin
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5400 S Rainbow Blvd
Las Vegas, NV 89118-1859
Phone (702) 325-4651
7250 Peak Dr
Suite 100
Las Vegas, NV 89128-9028
Phone (702) 386-4700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036109247 | IL | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Medical Group Rhodes P C | Specialist | Current | Accepting new patients |
| Optum Medical Group Rhodes P C | Current | Accepting new patients | |
| Red Rock Anesthesia Consultants LLC | Current | Accepting new patients | |
| Nevada Anesthesia Consultants LLP | Current | Accepting new patients | |
| Khavkin Clinic PLLC | Pain Medicine | Current | Accepting new patients |
| PBS Anesthesia LLC | Pain Medicine | Current | Accepting new patients |
| Optum Medical Group Rhodes P C | Current | Accepting new patients | |
| Optum Medical Group II Rhodes P C | Current | Accepting new patients | |
| Gephardt Anesthesia Specialists of Las Vegas PLLC | Past | Accepting new patients |
Locations
2501 N Green Valley Pkwy
Ste 112
Henderson, NV 89014
Phone (702) 873-4567
58 N Pecos Rd
Henderson, NV 89074
Phone (702) 822-2000
10105 Banburry Cross Dr
Ste 460
Las Vegas, NV 89144
Phone (702) 691-9160
2450 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 877-8660
3157 N Rainbow Blvd
Las Vegas, NV 89108
420 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 339-5710
5380 S Rainbow Blvd
Ste 306
Las Vegas, NV 89118
Phone (702) 362-9930
5400 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 252-7342
653 N Town Center Dr
Ste 602
Las Vegas, NV 89144
Phone (702) 888-1188
7250 Peak Dr
Ste 100
Las Vegas, NV 89128
Phone (702) 245-5960
Organizations & group practices 9
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.
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-
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566172800000",
"number": "1871534578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 LUXAIRE CT",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891444318",
"telephone_number": "702-531-4004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 LUXAIRE CT",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891444318",
"telephone_number": "702-531-4004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAVKIN",
"first_name": "ALBERT",
"credential": "D.O",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-10",
"last_updated": "2019-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IL",
"license": "036109247",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "NV",
"license": "1185",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALBERT",
"last_name": "KHAVKIN",
"prefix": "DR.",
"credential": "D.O",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.